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1952682197
AVERY WHITE
AUSTIN, TX
NPI
1952682197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT104847)
Enumeration Date
2011-09-01
Last Update Date
2015-05-15
Business Address
-- AVERY WHITE LMT
811 W SAINT JOHNS AVE UNIT 2105
AUSTIN, TX 78752-2387
Phone number: 512-850-7148
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Mailing Address
-- AVERY WHITE LMT
PO BOX 203894
AUSTIN, TX 78720-3894
Phone number: 512-850-7148
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