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1255062550
MATTHEW SIRVENT
ITHACA, NY
NPI
1255062550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 029815-1)
Enumeration Date
2022-06-19
Last Update Date
2022-06-19
Business Address
Mr. MATTHEW SIRVENT LMT
96 VILLAGE CIR APT 1
ITHACA, NY 14850-8578
Phone number: 607-220-4926
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Mailing Address
Mr. MATTHEW SIRVENT LMT
96 VILLAGE CIR APT 1
ITHACA, NY 14850-8578
Phone number:
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