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1437938784
MARK GREGORY
LEESVILLE, LA
NPI
1437938784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: LA LA9846)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
MARK GREGORY LMT
1603 BOONE ST STE C
LEESVILLE, LA 71446-5780
Phone number: 337-718-6517
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Mailing Address
MARK GREGORY LMT
103 MAYO ST
LEESVILLE, LA 71446-3058
Phone number: 337-718-6517
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