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1538903273
ANDRE R WILSON
TEMPE, AZ
NPI
1538903273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-25807)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
ANDRE R WILSON LMT
209 E BASELINE RD STE E102
TEMPE, AZ 85283-1299
Phone number: 480-388-4252
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Mailing Address
ANDRE R WILSON LMT
6445 S MAPLE AVE APT 2140
TEMPE, AZ 85283-3643
Phone number: 480-388-4252
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