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1114634300
LATISHA JANAE WILSON
COLORADO SPRINGS, CO
NPI
1114634300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CO MT.0025369)
Enumeration Date
2022-10-28
Last Update Date
2022-10-28
Business Address
LATISHA JANAE WILSON NMT
5145 PIONEER MESA DR
COLORADO SPRINGS, CO 80923-8752
Phone number: 719-922-9229
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Mailing Address
LATISHA JANAE WILSON NMT
5145 PIONEER MESA DR
COLORADO SPRINGS, CO 80923-8752
Phone number: 719-922-9229
Copy
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