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1154495919
VICTORIA LEA BOTHMAN
SAINT LOUIS, MO
NPI
1154495919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2002002533)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- VICTORIA LEA BOTHMAN LMT
7902 BIG BEND BLVD
SAINT LOUIS, MO 63119-2704
Phone number: 618-791-8742
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Mailing Address
-- VICTORIA LEA BOTHMAN LMT
108 MAPLE ST
EDWARDSVILLE, IL 62025-1441
Phone number: 618-791-8742
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