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1790151678
PHILLIP WACKERFUSS
WILLIAMSVILLE, NY
NPI
1790151678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 028894-1)
Enumeration Date
2015-08-14
Last Update Date
2015-08-14
Business Address
-- PHILLIP WACKERFUSS LMT
5225 SHERIDAN DR
WILLIAMSVILLE, NY 14221-3573
Phone number: 716-626-4466
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Mailing Address
-- PHILLIP WACKERFUSS LMT
86 LIVINGSTON ST
BUFFALO, NY 14213-1653
Phone number: 847-722-7014
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