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1063186187
DOUGLAS JOHN GATEWOOD
PRESCOTT VALLEY, AZ
NPI
1063186187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-18583)
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
DOUGLAS JOHN GATEWOOD
8200 E JACQUE DR
PRESCOTT VALLEY, AZ 86314-6172
Phone number: 928-277-8715
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Mailing Address
DOUGLAS JOHN GATEWOOD
6345 E ANDOVER LN
PRESCOTT VALLEY, AZ 86314-9233
Phone number: 928-830-5491
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