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1790374338
TRENTON DEMETRIUS MACK
DECATUR, GA
NPI
1790374338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT012952)
Enumeration Date
2021-01-17
Last Update Date
2021-01-17
Business Address
TRENTON DEMETRIUS MACK LMT
1953 CRESTMOORE DR
DECATUR, GA 30032-4909
Phone number: 770-883-5839
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Mailing Address
TRENTON DEMETRIUS MACK LMT
1953 CRESTMOORE DR
DECATUR, GA 30032-4909
Phone number: 770-883-5839
Copy
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