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1679015283
CALVIN D JOHNSON
BLYTHEWOOD, SC
NPI
1679015283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 9912)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
Mr. CALVIN D JOHNSON LCMT
738 UNIVERSITY VILLAGE DR
BLYTHEWOOD, SC 29016-7611
Phone number: 803-754-8432
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Mailing Address
Mr. CALVIN D JOHNSON LCMT
738 UNIVERSITY VILLAGE DR
BLYTHEWOOD, SC 29016-7611
Phone number: 803-754-8432
Copy
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