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1194115030
JERRY ROY JOHNSTONE
PHOENIX, AZ
NPI
1194115030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-14033)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
JERRY ROY JOHNSTONE L.M.T.
1641 E OSBORN RD SUITE 6
PHOENIX, AZ 85016-7146
Phone number: 602-265-1774
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Mailing Address
JERRY ROY JOHNSTONE L.M.T.
1641 E OSBORN RD SUITE 6
PHOENIX, AZ 85016-7146
Phone number: 602-265-1774
Copy
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