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1104377498
BARBARA HEAVNER
UPPER TRACT, WV
NPI
1104377498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WV 20072287)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- BARBARA HEAVNER
9311 PETERSBURG PIKE
UPPER TRACT, WV 26866-8011
Phone number: 304-358-2591
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Mailing Address
-- BARBARA HEAVNER
9311 PETERSBURG PIKE
UPPER TRACT, WV 26866-8011
Phone number: 304-358-2591
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