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1881130995
ANTONIO CLYBURN
NEWCASTLE, WA
NPI
1881130995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60698755)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
-- ANTONIO CLYBURN MT
6985 COAL CREEK PKWY SE
NEWCASTLE, WA 98059-3136
Phone number: 425-378-0500
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Mailing Address
-- ANTONIO CLYBURN MT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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