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1922601392
KEVIN WAYNE SHELTON
FRESNO, CA
NPI
1922601392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 78975)
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
KEVIN WAYNE SHELTON LMT
4073 N FRUIT AVE APT 117
FRESNO, CA 93705-2136
Phone number: 559-720-9493
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Mailing Address
KEVIN WAYNE SHELTON LMT
4073 N FRUIT AVE APT 117
FRESNO, CA 93705-2136
Phone number: 559-720-9493
Copy
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