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1457829020
DONALD DEVINE
STATESBORO, GA
NPI
1457829020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA 012315)
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
DONALD DEVINE LMT
502 RETRIEVER CT
STATESBORO, GA 30461-4498
Phone number: 912-541-0589
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Mailing Address
DONALD DEVINE LMT
502 RETRIEVER CT
STATESBORO, GA 30461-4498
Phone number: 912-541-0589
Copy
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