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1407130198
JACK LAWRENCE MILLER
TUCSON, AZ
NPI
1407130198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-13827)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- JACK LAWRENCE MILLER LMT
7620 N HARTMAN LN STE 184
TUCSON, AZ 85743-7485
Phone number: 520-668-6306
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Mailing Address
-- JACK LAWRENCE MILLER LMT
8936 N ONYX ST
TUCSON, AZ 85742-9415
Phone number: 520-668-6306
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