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Individual

GERARD BUNNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
112 THOMPSON ST, SUITE D, ASHLAND, VA 23005-1527
(804) 752-4880
Mailing address
112 THOMPSON ST, SUITE D, ASHLAND, VA 23005-1527
(804) 752-4880

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019003483
VA

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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