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1295083814
BILL DEAN ENNIS
MODESTO, CA
NPI
1295083814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- BILL DEAN ENNIS Massage Therapist
3116 OTIS AV
MODESTO, CA 95350
Phone number: 209-567-1432
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Mailing Address
-- BILL DEAN ENNIS Massage Therapist
3116 OTIS AV
MODESTO, CA 95350
Phone number: 209-567-1432
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