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1982209854
CHARLES HOLBROOK SWAN
ENCINITAS, CA
NPI
1982209854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 4922)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
CHARLES HOLBROOK SWAN
1712 GREENTREE RD
ENCINITAS, CA 92024-3022
Phone number: 760-613-8719
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Mailing Address
CHARLES HOLBROOK SWAN
1712 GREENTREE RD
ENCINITAS, CA 92024-3022
Phone number: 760-613-8719
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