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1083949598
IAN LW TERRY
LAKE MARY, FL
NPI
1083949598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA56779)
Enumeration Date
2009-10-16
Last Update Date
2010-04-06
Business Address
Mr. IAN LW TERRY L.M.T.
1161 ISLAND SHORE LN APT #231
LAKE MARY, FL 32746-5396
Phone number: 321-262-3905
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Mailing Address
Mr. IAN LW TERRY L.M.T.
1161 ISLAND SHORE LN APT #231
LAKE MARY, FL 32746-5396
Phone number: 321-262-3905
Copy
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