GENVIEVE NICOLE BENNETT

FORT WAYNE, IN
NPI1306492079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT21906886)
Enumeration Date2019-08-17
Last Update Date2019-08-17
Business Address
GENVIEVE NICOLE BENNETT
4771 TRIER RD
FORT WAYNE, IN 46815-4968
Phone number: 260-492-8300
Mailing Address
GENVIEVE NICOLE BENNETT
4771 TRIER RD
FORT WAYNE, IN 46815-4968
Phone number: 260-492-8300
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