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1942713060
WANDA SUE YOUNG
KINGSTON, TN
NPI
1942713060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TN 11711)
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
WANDA SUE YOUNG LMT
345 LAWSON MILL RD
KINGSTON, TN 37763-4523
Phone number: 865-963-1775
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Mailing Address
WANDA SUE YOUNG LMT
345 LAWSON MILL RD
KINGSTON, TN 37763-4523
Phone number: 865-963-1775
Copy