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1760069876
CODY ALEXANDER LUCAS
FAYETTEVILLE, AR
NPI
1760069876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: AR 8920)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
CODY ALEXANDER LUCAS MT
767 W NORTH ST
FAYETTEVILLE, AR 72701-1865
Phone number: 479-387-7854
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Mailing Address
CODY ALEXANDER LUCAS MT
1572 N DAWN DR
FAYETTEVILLE, AR 72703-6093
Phone number: 479-387-7854
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