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1356804280
BRYAN DEVAUGHN
BALTIMORE, MD
NPI
1356804280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MD R02802)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
BRYAN DEVAUGHN
1120 N CHARLES ST STE 400
BALTIMORE, MD 21201-5594
Phone number: 410-375-0032
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Mailing Address
BRYAN DEVAUGHN
5108 PLYMOUTH RD
BALTIMORE, MD 21214-2151
Phone number:
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