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1104129527
LISA MARIE WOURMS
FARGO, ND
NPI
1104129527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ND 1144)
Enumeration Date
2010-12-07
Last Update Date
2012-12-04
Business Address
LISA MARIE WOURMS
1121 WESTRAC DR S STE 102
FARGO, ND 58103-2385
Phone number: 701-297-8191
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Mailing Address
LISA MARIE WOURMS
1403 3RD AVE N
MOORHEAD, MN 56560-2238
Phone number: 320-760-4342
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