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1386413987
DEAVIN LEE SHALER -MACIAS
PORTLAND, TX
NPI
1386413987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT134947)
Enumeration Date
2023-12-22
Last Update Date
2024-07-16
Business Address
DEAVIN LEE SHALER -MACIAS LMT
607 RAILROAD DR
PORTLAND, TX 78374-1539
Phone number: 361-502-1793
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Mailing Address
DEAVIN LEE SHALER -MACIAS LMT
2850 AVENUE J APT 518
INGLESIDE, TX 78362-5926
Phone number: 361-502-1793
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