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1073023347
STEVEN ALWYN BENNETT
EAST TEXAS (MACUNGIE), PA
NPI
1073023347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG003670)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
STEVEN ALWYN BENNETT CMT/L
5620 E. TEXAS RD.
EAST TEXAS (MACUNGIE), PA 18046
Phone number: 610-398-9773
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Mailing Address
STEVEN ALWYN BENNETT CMT/L
14 FIVE POINTS RD
MACUNGIE, PA 18062-8526
Phone number: 1215-679-6082
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