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1275017865
AMANDA DARLENE UPCHURCH
BERKELEY, CA
NPI
1275017865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 75044)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
AMANDA DARLENE UPCHURCH
1530A 5TH ST
BERKELEY, CA 94710-1713
Phone number: 510-725-1179
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Mailing Address
AMANDA DARLENE UPCHURCH
1530A 5TH ST
BERKELEY, CA 94710-1713
Phone number: 510-725-1179
Copy
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