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1952964769
CHARLES WILSON EVANS
PHOENIX, AZ
NPI
1952964769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ MT-23677)
Enumeration Date
2019-04-17
Last Update Date
2019-06-11
Business Address
CHARLES WILSON EVANS MASSAGE THERAPIST
14828 N 32ND DR
PHOENIX, AZ 85053-4703
Phone number: 623-226-2156
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Mailing Address
CHARLES WILSON EVANS MASSAGE THERAPIST
14828 N 32ND DR
PHOENIX, AZ 85053-4703
Phone number: 623-226-2156
Copy
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