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1104091784
ELIZABETH A JACKSON
PORTLAND, ME
NPI
1104091784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ME MT3127)
Enumeration Date
2008-04-24
Last Update Date
2008-12-08
Business Address
Ms. ELIZABETH A JACKSON Lic. Massage Therapi
94 AUBURN ST STE 106
PORTLAND, ME 04103-2141
Phone number: 207-878-3003
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Mailing Address
Ms. ELIZABETH A JACKSON Lic. Massage Therapi
94 AUBURN ST SUITE 106
PORTLAND, ME 04103-2141
Phone number: 207-878-3003
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