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1003213232
MARISA CHADBOURNE
SAYVILLE, NY
NPI
1003213232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 021161)
Enumeration Date
2014-12-03
Last Update Date
2023-06-29
Business Address
MARISA CHADBOURNE LMT
124 MAIN STREET
SAYVILLE, NY 11782-2952
Phone number: 631-403-6013
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Mailing Address
MARISA CHADBOURNE LMT
PO BOX 53
SAYVILLE, NY 11782-0053
Phone number: 631-403-6013
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