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1861875148
GLYNN JORDAN BOGARD
CORPUS CHRISTI, TX
NPI
1861875148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX 122096)
Enumeration Date
2015-07-03
Last Update Date
2015-07-03
Business Address
Mr. GLYNN JORDAN BOGARD LMT
9929 S PADRE ISLAND DR STE 113
CORPUS CHRISTI, TX 78418-5148
Phone number: 361-937-5508
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Mailing Address
Mr. GLYNN JORDAN BOGARD LMT
538 DEL MAR BLVD
CORPUS CHRISTI, TX 78404-2906
Phone number: 361-815-0421
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