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1245565951
CLINTON ALLEN WHITTENBERG
LA GRANGE, KY
NPI
1245565951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY Ky0384)
Enumeration Date
2009-10-14
Last Update Date
2009-10-14
Business Address
Mr. CLINTON ALLEN WHITTENBERG LMT
520 JERICHO RD.
LA GRANGE, KY 40031-0101
Phone number: 502-222-7623
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Mailing Address
Mr. CLINTON ALLEN WHITTENBERG LMT
PO BOX 101
LA GRANGE, KY 40031-0101
Phone number: 502-222-7623
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