JAMES CHARLES SOUKUP

AURORA, IN
NPI1720625155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT21204228)
Enumeration Date2019-12-04
Last Update Date2019-12-04
Business Address
MR. JAMES CHARLES SOUKUP LMT
310 4TH ST
AURORA, IN 47001-1206
Phone number: 812-560-8697
Mailing Address
MR. JAMES CHARLES SOUKUP LMT
310 4TH ST
AURORA, IN 47001-1206
Phone number: 812-560-8697