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1972219012
LOGAN DAVID DEHAMER
PRESCOTT, AZ
NPI
1972219012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AZ mt-28584)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
LOGAN DAVID DEHAMER
1590 WILLOW CREEK RD
PRESCOTT, AZ 86301-1164
Phone number: 928-227-1899
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Mailing Address
LOGAN DAVID DEHAMER
4245 W THUNDER MOUNTAIN RD
CHINO VALLEY, AZ 86323-8155
Phone number:
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