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1356974778
BRENT W DESKINS
WINSTON SALEM, NC
NPI
1356974778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 11671)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
BRENT W DESKINS LMBT
2800 HERMITAGE DR
WINSTON SALEM, NC 27103-4206
Phone number: 336-995-7902
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Mailing Address
BRENT W DESKINS LMBT
2800 HERMITAGE DR
WINSTON SALEM, NC 27103-4206
Phone number: 336-995-7902
Copy
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