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1023542164
JEB S MALCOLM
LEBANON, PA
NPI
1023542164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG011451)
Enumeration Date
2017-04-15
Last Update Date
2017-04-15
Business Address
Mr. JEB S MALCOLM LMT
1000 S LINCOLN AVE
LEBANON, PA 17042-7165
Phone number: 717-270-9798
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Mailing Address
Mr. JEB S MALCOLM LMT
1000 S LINCOLN AVE
LEBANON, PA 17042-7165
Phone number: 717-270-9798
Copy
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