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1255939039
STEPHEN WADE
MOUNTAIN BRK, AL
NPI
1255939039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AL 2390)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
Mr. STEPHEN WADE LMT
16 OFFICE PARK CIR STE 12C
MOUNTAIN BRK, AL 35223-2923
Phone number: 205-792-1967
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Mailing Address
Mr. STEPHEN WADE LMT
1301 27TH PL S APT 5
BIRMINGHAM, AL 35205-2542
Phone number: 205-792-1967
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