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1780416438
GARRETT MICHAEL PENROD
MESA, AZ
NPI
1780416438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-29099)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
Mr. GARRETT MICHAEL PENROD CPT
1941 S PIERPONT DR APT 1076
MESA, AZ 85206-4651
Phone number: 602-803-9210
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Mailing Address
Mr. GARRETT MICHAEL PENROD CPT
1941 S PIERPONT DR APT 1076
MESA, AZ 85206-4651
Phone number: 602-803-9210
Copy
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