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1881666204
PERFECTO TAN
MOBILE, AL
NPI
1881666204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL 1754)
Enumeration Date
2006-02-02
Last Update Date
2007-07-08
Business Address
-- PERFECTO TAN LPC
5750A SOUTHLAND DR
MOBILE, AL 36693-3316
Phone number: 251-662-7290
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Mailing Address
-- PERFECTO TAN LPC
2400 GORDON SMITH DR
MOBILE, AL 36617-2319
Phone number: 251-473-4423
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