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1336744739
MEGAN RUSSALIN LONG
SCHERTZ, TX
NPI
1336744739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX Mt128442)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
MEGAN RUSSALIN LONG LMT
495 ROSEMAN BRG
SCHERTZ, TX 78154-3655
Phone number: 210-605-7171
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Mailing Address
MEGAN RUSSALIN LONG LMT
495 ROSEMAN BRG
SCHERTZ, TX 78154-3655
Phone number: 210-605-7171
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