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1114144169
ROLLAND DEAN LEACH
JACKSONVILLE, NC
NPI
1114144169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 1584)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. ROLLAND DEAN LEACH LMBT
1012 DANIEL DR
JACKSONVILLE, NC 28540-6817
Phone number: 910-455-7225
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Mailing Address
Mr. ROLLAND DEAN LEACH LMBT
1012 DANIEL DR
JACKSONVILLE, NC 28540-6817
Phone number: 910-455-7225
Copy
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