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1174059349
DWAYNE FIRES
CHESAPEAKE, VA
NPI
1174059349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019004740)
Enumeration Date
2017-05-10
Last Update Date
2017-05-10
Business Address
DWAYNE FIRES CMT
734 GREEN TREE CIR APT 203
CHESAPEAKE, VA 23320-3788
Phone number: 757-376-0471
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Mailing Address
DWAYNE FIRES CMT
734 GREEN TREE CIRCLE APT 203
CHESAPEAKE, VA 23320-3789
Phone number: 757-376-0471
Copy
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