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1871962100
RANDOLPH TERRY BAKER
SUWANEE, GA
NPI
1871962100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT010074)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
Mr. RANDOLPH TERRY BAKER LMT
3461 LAWRENCEVILLE SUWANEE RD SUITE B
SUWANEE, GA 30024-6428
Phone number: 815-262-8563
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Mailing Address
Mr. RANDOLPH TERRY BAKER LMT
3461 LAWRENCEVILLE SUWANEE RD SUITE B
SUWANEE, GA 30024-6428
Phone number: 815-262-8563
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