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1083376396
JASON ISHMAEL EZZY
PORTLAND, ME
NPI
1083376396
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Former Name
JASON LESALDO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4860)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
JASON ISHMAEL EZZY LMT, AHS
1717 CONGRESS ST STE 3
PORTLAND, ME 04102-1983
Phone number: 207-449-2847
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Mailing Address
JASON ISHMAEL EZZY LMT, AHS
365 MAIN ST APT 102
BIDDEFORD, ME 04005-6304
Phone number: 207-449-2847
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