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1720377781
MIGUEL LUIS AYALA
HINESVILLE, GA
NPI
1720377781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA mt005482)
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
-- MIGUEL LUIS AYALA LMT
105 N MAIN ST
HINESVILLE, GA 31313-3237
Phone number: 912-408-7777
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Mailing Address
-- MIGUEL LUIS AYALA LMT
1746 ASHTON DR
HINESVILLE, GA 31313-9110
Phone number: 912-492-7673
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