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1093420028
DESIRAE SERENE ELLISON
BECKLEY, WV
NPI
1093420028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WV 2018-3632)
Enumeration Date
2023-01-13
Last Update Date
2023-01-13
Business Address
DESIRAE SERENE ELLISON
21 MALLARD CT
BECKLEY, WV 25801-3615
Phone number: 304-890-8020
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Mailing Address
DESIRAE SERENE ELLISON
4714 OKEY L PATTESON RD
SCARBRO, WV 25917-8022
Phone number: 304-520-1426
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