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1760789051
TERRENCE PETERSON
CHARLOTTE, NC
NPI
1760789051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 10618)
Enumeration Date
2011-02-22
Last Update Date
2011-02-22
Business Address
Mr. TERRENCE PETERSON LMBT
6508 WALSH BLVD #D
CHARLOTTE, NC 28226-8375
Phone number: 704-540-4203
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Mailing Address
Mr. TERRENCE PETERSON LMBT
6508 WALSH BLVD #D
CHARLOTTE, NC 28226-8375
Phone number: 704-540-4203
Copy
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