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1356913610
ANTHONY VINCENT LAVALLE
RALEIGH, NC
NPI
1356913610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 19260)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
Mr. ANTHONY VINCENT LAVALLE LMT
1520 SUNBOW FALLS LN APT 304
RALEIGH, NC 27609-8110
Phone number: 516-761-4880
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Mailing Address
Mr. ANTHONY VINCENT LAVALLE LMT
1520 SUNBOW FALLS LN APT 304
RALEIGH, NC 27609-8110
Phone number: 516-761-4880
Copy
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