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1558697219
CHARLES FRED LANG
BRYAN, TX
NPI
1558697219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT005888)
Enumeration Date
2009-10-29
Last Update Date
2009-11-23
Business Address
-- CHARLES FRED LANG LMT
4410 COLONY CHASE DR
BRYAN, TX 77808-7838
Phone number: 832-283-3300
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Mailing Address
-- CHARLES FRED LANG LMT
PO BOX 5519
BRYAN, TX 77805-5519
Phone number: 832-283-3300
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