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1194269423
JONATHAN LEE WOOLARD
FAYETTEVILLE, NC
NPI
1194269423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 13933)
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
Mr. JONATHAN LEE WOOLARD LMBT
3035 BOONE TRAIL EXT STE A
FAYETTEVILLE, NC 28304-3860
Phone number: 910-920-1165
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Mailing Address
Mr. JONATHAN LEE WOOLARD LMBT
6403 HIDDEN LAKE LOOP 18
FAYETTEVILLE, NC 28304-2878
Phone number: 910-527-9175
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