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1174141428
NICHOLAS PERNELL VINES
MONTGOMERY, AL
NPI
1174141428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AL 5521)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
MR. NICHOLAS PERNELL VINES
2201 SAGEWOOD DR
MONTGOMERY, AL 36117-2428
Phone number: 334-676-2414
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Mailing Address
MR. NICHOLAS PERNELL VINES
2201 SAGEWOOD DR
MONTGOMERY, AL 36117-2428
Phone number: 334-676-2414
Copy
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