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Individual
MR. NEWMAN LEE DALTON IV
Active
Individual
MR. NEWMAN LEE DALTON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60159297
WA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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