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1649885310
ANTHONY WILLIAM LONGO
SANTA ROSA, CA
NPI
1649885310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 71075)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
ANTHONY WILLIAM LONGO LMT
801 7TH ST
SANTA ROSA, CA 95404-4213
Phone number: 415-855-5699
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Mailing Address
ANTHONY WILLIAM LONGO LMT
801 7TH ST
SANTA ROSA, CA 95404-4213
Phone number: 415-855-5699
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