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1952944191
MILES JEFFREY BANTA
YORK, PA
NPI
1952944191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG002172)
Enumeration Date
2019-10-21
Last Update Date
2019-10-22
Business Address
MILES JEFFREY BANTA LMT
140 PINE GROVE CMNS
YORK, PA 17403-5151
Phone number: 717-851-5590
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Mailing Address
MILES JEFFREY BANTA LMT
3421 CONCORD RD
YORK, PA 17402-9001
Phone number: 717-851-5590
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