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1366855132
SUSAN BROCK
MACON, GA
NPI
1366855132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT001483)
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
-- SUSAN BROCK L.M.T.
3260 VINEVILLE AVE
MACON, GA 31204-2324
Phone number: 478-960-6366
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Mailing Address
-- SUSAN BROCK L.M.T.
3260 VINEVILLE AVE
MACON, GA 31204-2324
Phone number: 478-960-6366
Copy
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