GAVIN LANCE POWELL

NEW YORK, NY
NPI1417659509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT014426)
Enumeration Date2023-03-21
Last Update Date2023-03-21
Business Address
GAVIN LANCE POWELL Massage Therapist
630 W 173RD ST
NEW YORK, NY 10032-1413
Phone number: 810-835-9314
Mailing Address
GAVIN LANCE POWELL Massage Therapist
PO BOX 250435
NEW YORK, NY 10025-1524
Phone number: 810-835-9314
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