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1073890828
STEPHANIE JACKSON
ENGLEWOOD, CO
NPI
1073890828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO 10659)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- STEPHANIE JACKSON CMT
3172 S GILPIN ST
ENGLEWOOD, CO 80113-3023
Phone number: 303-476-0294
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Mailing Address
-- STEPHANIE JACKSON CMT
3172 S GILPIN ST
ENGLEWOOD, CO 80113-3023
Phone number: 303-476-0294
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