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1427778380
RUSSELL JAMES BASILIERE
SYRACUSE, NY
NPI
1427778380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 030876-01)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
RUSSELL JAMES BASILIERE LMT
109 S WARREN ST STE 301
SYRACUSE, NY 13202-1798
Phone number: 315-937-5953
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Mailing Address
RUSSELL JAMES BASILIERE LMT
7543 ELMCREST RD
LIVERPOOL, NY 13090-2846
Phone number: 315-679-1954
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