CARL BRUCKNER

ROSWELL, GA
NPI1144617036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT 010291)
Enumeration Date2015-04-19
Last Update Date2015-04-19
Business Address
-- CARL BRUCKNER LMT
109 THRUSH DR
ROSWELL, GA 30075-1141
Phone number: 408-731-0592
Mailing Address
-- CARL BRUCKNER LMT
109 THRUSH DR
ROSWELL, GA 30075-1141
Phone number: 408-731-0592
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