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Dyman Baker Conner, LMT

Massage Therapist in Irving, TX. Individual provider (NPI-1).

NPI number1689178212
StatusActive
Last updated in NPPESMar 20, 2018

Details

NPI
1689178212
Entity type
Individual (NPI-1)
Name
Mr. Dyman Baker Conner
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2018
Last updated
Mar 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT109855TXYes

Practice location

3751 William Dehaes Dr Apt 301
Irving, TX 75038-8906

Phone 817-689-6178

Mailing address

3751 William Dehaes Dr Apt 301
Irving, TX 75038-8906

Phone 817-689-6178

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