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1003102096
JONATHAN P WASCAK
HAMBURG, NY
NPI
1003102096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 016680-1)
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
-- JONATHAN P WASCAK LMT
4269 SAINT FRANCIS DR
HAMBURG, NY 14075-1724
Phone number: 716-627-3668
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Mailing Address
-- JONATHAN P WASCAK LMT
4269 SAINT FRANCIS DR
HAMBURG, NY 14075-1724
Phone number: 716-627-3668
Copy
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