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1154004505
JOSEPH LUKE BAISE
GLASGOW, KY
NPI
1154004505
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Professional Name
JOSEPH LUKE BAISE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 28316)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
Mr. JOSEPH LUKE BAISE LMT
910 COLUMBIA AVE
GLASGOW, KY 42141
Phone number: 270-629-3346
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Mailing Address
Mr. JOSEPH LUKE BAISE LMT
316 GLASGOW ST
EDMONTON, KY 42129
Phone number: 270-404-0419
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