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1629514393
LEWINFRED A SHACK
GERMANTOWN, TN
NPI
1629514393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: TN 4952)
Enumeration Date
2017-01-18
Last Update Date
2017-05-03
Business Address
-- LEWINFRED A SHACK MDiv., LMT
7622 POPLAR PIKE
GERMANTOWN, TN 38138-5941
Phone number: 901-633-6259
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Mailing Address
-- LEWINFRED A SHACK MDiv., LMT
2809 KIRBY RD STE 116 PMB 121
MEMPHIS, TN 38119-8245
Phone number: 901-633-6259
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