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1437788320
RANDELL BLAKE WADDELL
FRISCO, TX
NPI
1437788320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT132657)
Enumeration Date
2020-04-03
Last Update Date
2020-04-08
Business Address
Mr. RANDELL BLAKE WADDELL LMT
6793 MASSA LN
FRISCO, TX 75034-2285
Phone number: 806-236-9452
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Mailing Address
Mr. RANDELL BLAKE WADDELL LMT
6793 MASSA LN
FRISCO, TX 75034-2285
Phone number: 806-236-9452
Copy
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