MARK WAYNE LARSON

OOLTEWAH, TN
NPI1265876056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: TN  9061)
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- MARK WAYNE LARSON mt
10093 SUNNY LN
OOLTEWAH, TN 37363-8487
Phone number: 423-838-8906
Mailing Address
-- MARK WAYNE LARSON mt
PO BOX 1505 10093 SUNNY LANE
COLLEGEDALE, TN 37315-1505
Phone number: 423-838-8906
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