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1013252873
CRAIG F WATHEN
TAMPA, FL
NPI
1013252873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA71333)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Mr. CRAIG F WATHEN LMT
4728 E 98TH AVE
TAMPA, FL 33617-4512
Phone number: 813-454-2808
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Mailing Address
Mr. CRAIG F WATHEN LMT
4728 E 98TH AVE
TAMPA, FL 33617-4512
Phone number: 813-454-2808
Copy
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