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1902424955
ASHLEY GAYTAN
CHAMPAIGN, IL
NPI
1902424955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227014334)
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
ASHLEY GAYTAN LMT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number: 217-356-6543
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Mailing Address
ASHLEY GAYTAN LMT
2906 CROSSING CT
CHAMPAIGN, IL 61822-6163
Phone number:
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