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1003640194
STACY BOSANKO
EL PASO, TX
NPI
1003640194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT132519)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
STACY BOSANKO LMT
5941 FIESTA DR
EL PASO, TX 79912-5228
Phone number: 915-841-1869
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Mailing Address
STACY BOSANKO LMT
5941 FIESTA DR
EL PASO, TX 79912-5228
Phone number: 915-841-1869
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