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Individual

JOHN FRED LEVEZOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2212 OAKWOOD AVE, BENTONVILLE, AR 72712-4029
(479) 866-9338
Mailing address
2212 OAKWOOD AVE, BENTONVILLE, AR 72712-4029
(479) 866-9338

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7318
AR

Other

Enumeration date
12/02/2011
Last updated
12/02/2011
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