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1134451180
BRIAN LAWRENCE
PORTLAND, ME
NPI
1134451180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4103)
Enumeration Date
2010-02-02
Last Update Date
2010-02-02
Business Address
-- BRIAN LAWRENCE LMT
16 SAINT LAWRENCE ST
PORTLAND, ME 04101-4316
Phone number: 207-318-1254
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Mailing Address
-- BRIAN LAWRENCE LMT
16 SAINT LAWRENCE ST
PORTLAND, ME 04101-4316
Phone number: 207-318-1254
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