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1679872543
STEVEN R DICKERSON
BARBOURVILLE, KY
NPI
1679872543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY KY-1989)
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
Mr. STEVEN R DICKERSON LMT
303 DANIEL BOONE DR
BARBOURVILLE, KY 40906-1105
Phone number: 606-813-0481
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Mailing Address
Mr. STEVEN R DICKERSON LMT
GENERAL DELIVERY
HIMA, KY 40951-9999
Phone number: 606-813-0481
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