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1407137698
BETHENY ANNE WITHERELL
MATTYDALE, NY
NPI
1407137698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 024992)
Enumeration Date
2011-09-01
Last Update Date
2013-04-08
Business Address
-- BETHENY ANNE WITHERELL
2605 BREWERTON RD
MATTYDALE, NY 13211-1147
Phone number: 315-455-9355
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Mailing Address
-- BETHENY ANNE WITHERELL
2605 BREWERTON RD
MATTYDALE, NY 13211-1147
Phone number: 315-455-9355
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