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1962952200
MARK STANLEY BALAWENDER
AUSTIN, TX
NPI
1962952200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT122520)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
Mr. MARK STANLEY BALAWENDER L.M.T., M.M.P.D.
11932 ROSETHORN DR
AUSTIN, TX 78758-3301
Phone number: 413-441-1746
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Mailing Address
Mr. MARK STANLEY BALAWENDER L.M.T., M.M.P.D.
11932 ROSETHORN DR
AUSTIN, TX 78758-3301
Phone number: 413-441-1746
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