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1154938330
JASON ANDERSON
SCOTTSBURG, IN
NPI
1154938330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT21907011)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
JASON ANDERSON LMT
1621 W LAWRENCE DR
SCOTTSBURG, IN 47170-6808
Phone number: 812-595-9886
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Mailing Address
JASON ANDERSON LMT
1621 W LAWRENCE DR
SCOTTSBURG, IN 47170-6808
Phone number: 812-595-9886
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