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Jackie Borup, LMP
NPI 1932500873 · on the registry since 2014 · sole proprietor
Practice
- Address
- 226 W 3rd Ave
Moses Lake, WA 98837 - Phone
- (509) 765-4174
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington