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1154102424
MELISSA LORRAINE WYNN
SAN JOSE, CA
NPI
1154102424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 73052)
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
Ms. MELISSA LORRAINE WYNN CMT
1449 SHORTRIDGE AVE
SAN JOSE, CA 95116-2351
Phone number: 408-608-7909
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Mailing Address
Ms. MELISSA LORRAINE WYNN CMT
PO BOX 720591
SAN JOSE, CA 95172-0591
Phone number: 408-608-7909
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