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1295577047
FAITHFUL MODALITIES MEDICAL MASSAGE LLC
PORTLAND, TX
NPI
1295577047
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Entity Type
Organization
Authorized Contact
DEAVIN SHALER-MACIAS
Business Owner
361-502-1793
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2024-06-12
Last Update Date
2024-07-16
Business Address
FAITHFUL MODALITIES MEDICAL MASSAGE LLC
607 RAILROAD DR
PORTLAND, TX 78374-1539
Phone number: 361-502-1793
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Mailing Address
FAITHFUL MODALITIES MEDICAL MASSAGE LLC
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number:
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