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1922614064
TIMOTHY SHANE DUKE
AUSTIN, TX
NPI
1922614064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT014995)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
TIMOTHY SHANE DUKE LMT
2900 S CONGRESS AVE STE 104
AUSTIN, TX 78704-6421
Phone number: 512-507-5672
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Mailing Address
TIMOTHY SHANE DUKE LMT
9404 SAN DIEGO RD
AUSTIN, TX 78737-3034
Phone number: 512-587-2561
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