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1063072676
MANDA LYNN JOHNSON
MENOMONEE FALLS, WI
NPI
1063072676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 11999-146)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
MANDA LYNN JOHNSON LMT
N82W15485 APPLETON AVE
MENOMONEE FALLS, WI 53051-3711
Phone number: 262-251-2929
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Mailing Address
MANDA LYNN JOHNSON LMT
W215N10083 HICKORY DR
COLGATE, WI 53017-9511
Phone number: 262-613-9872
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