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1033887971
JOHN DAVID LANCE
CENTRAL ISLIP, NY
NPI
1033887971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2021-09-04
Last Update Date
2021-09-04
Business Address
JOHN DAVID LANCE LMT
43 NORTHWOOD BLVD
CENTRAL ISLIP, NY 11722-4695
Phone number: 314-070-5516
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Mailing Address
JOHN DAVID LANCE LMT
PO BOX 1474
CENTRAL ISLIP, NY 11722-0438
Phone number: 631-407-0551
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