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1437922044
CHARLES PHOENIX
SAVANNAH, GA
NPI
1437922044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OH 33.026595)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
CHARLES PHOENIX
14030 ABERCORN ST
SAVANNAH, GA 31419-1935
Phone number: 912-712-2152
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Mailing Address
CHARLES PHOENIX
3123 CHASE ST
TOLEDO, OH 43611-3204
Phone number: 567-702-1151
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