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1861944555
OTHA LEROY SWEPSON
WILMINGTON, NC
NPI
1861944555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 13004)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- OTHA LEROY SWEPSON
3941B MARKET ST
WILMINGTON, NC 28403-1403
Phone number: 910-599-7813
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Mailing Address
-- OTHA LEROY SWEPSON
17 N 31ST ST
WILMINGTON, NC 28405-3109
Phone number: 910-599-7813
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