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1104420744
MELISSA MUELLER-SOUPHANAVONG
ANCHORAGE, AK
NPI
1104420744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 152646)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
MELISSA MUELLER-SOUPHANAVONG LMT
7449 E 17TH AVE
ANCHORAGE, AK 99504-2708
Phone number: 907-244-2146
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Mailing Address
MELISSA MUELLER-SOUPHANAVONG LMT
7449 E 17TH AVE
ANCHORAGE, AK 99504-2708
Phone number: 907-244-2146
Copy
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