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1902430150
ANTHONY JAMES DATES
DAYTON, OH
NPI
1902430150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OH 33.021213)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
ANTHONY JAMES DATES
4036 QUAIL BUSH DR
DAYTON, OH 45424-4740
Phone number: 937-304-5620
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Mailing Address
ANTHONY JAMES DATES
4036 QUAIL BUSH DR
DAYTON, OH 45424-4740
Phone number: 937-304-5620
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