GARY MITCHELL VAN DERVEER

PHOENIX, AZ
NPI1528639960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  MT-14602)
Enumeration Date2021-07-07
Last Update Date2021-07-07
Business Address
GARY MITCHELL VAN DERVEER LMT
3935 E GREENWAY RD APT 205
PHOENIX, AZ 85032-4671
Phone number: 602-497-7422
Mailing Address
GARY MITCHELL VAN DERVEER LMT
GARY M. VAN DERVEER 3935 E. GREENWAY RD APT. 205
PHOENIX, AZ 85032-4671
Phone number: 602-497-7422
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