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1154725547
JONATHAN CARTER
ISLIP, NY
NPI
1154725547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 026655)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
-- JONATHAN CARTER
54 WAVE CREST DR
ISLIP, NY 11751-4016
Phone number: 516-240-5127
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Mailing Address
-- JONATHAN CARTER
54 WAVE CREST DR
ISLIP, NY 11751-4016
Phone number: 516-240-5127
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