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1932530110
LAVINCE COOPER
SAN TAN VALLEY, AZ
NPI
1932530110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-12125)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
LAVINCE COOPER LMT. CMMP.
35285 N KARAN SWISS CIR
SAN TAN VALLEY, AZ 85143-4994
Phone number: 480-299-1194
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Mailing Address
LAVINCE COOPER LMT. CMMP.
35285 N KARAN SWISS CIR
SAN TAN VALLEY, AZ 85143-4994
Phone number: 480-299-1194
Copy
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