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1114638434
GREGORY D BUCHANAN
MERRILLVILLE, IN
NPI
1114638434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT20901901)
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
Mr. GREGORY D BUCHANAN LMT
1649 E 80TH AVE STE 407
MERRILLVILLE, IN 46410-5737
Phone number: 219-614-2777
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Mailing Address
Mr. GREGORY D BUCHANAN LMT
400 N LAKE PARK AVE APT E4S
HOBART, IN 46342-3026
Phone number: 219-805-4155
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