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1184988156
DMITRIY GERVAGIN
NEWTON, MA
NPI
1184988156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MA 10680)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- DMITRIY GERVAGIN LMT
44 HIGH ST
NEWTON, MA 02464-1232
Phone number: 617-828-4516
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Mailing Address
-- DMITRIY GERVAGIN LMT
44 HIGH ST
NEWTON, MA 02464-1232
Phone number: 617-828-4516
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