Individual
DUANE ALLEN BOOMERSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
890 S BARRON ST, EATON, OH 45320-9362
(937) 456-4555
(888) 789-0151
Mailing address
436 SOUTHBROOK DR, GREENVILLE, OH 45331-1156
(306) 870-2963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023641
OH
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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