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1134423114
LISA L LARSEN
ALBUQUERQUE, NM
NPI
1134423114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 4655)
Enumeration Date
2011-01-05
Last Update Date
2011-01-05
Business Address
Ms. LISA L LARSEN L.M.T.
2709 WYOMING BLVD NE
ALBUQUERQUE, NM 87111-4540
Phone number: 505-294-5486
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Mailing Address
Ms. LISA L LARSEN L.M.T.
2403 SAN MATEO BLVD NE W-16
ALBUQUERQUE, NM 87110-4058
Phone number: 505-363-6718
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