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1588131676
JAIS MALCOLM
LEBANON, PA
NPI
1588131676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG012653)
Enumeration Date
2018-10-27
Last Update Date
2018-10-27
Business Address
JAIS MALCOLM
1000 S LINCOLN AVE
LEBANON, PA 17042-7165
Phone number: 717-383-1780
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Mailing Address
JAIS MALCOLM
1000 S LINCOLN AVE
LEBANON, PA 17042-7165
Phone number: 717-383-1780
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