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1164196366
MELISSA LEE FULLMER
ALBUQUERQUE, NM
NPI
1164196366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 7838)
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
MELISSA LEE FULLMER LMT
10724 FENCIK LN SW
ALBUQUERQUE, NM 87121-3694
Phone number: 505-238-6881
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Mailing Address
MELISSA LEE FULLMER LMT
10724 FENCIK LN SW
ALBUQUERQUE, NM 87121-3694
Phone number: 505-238-6881
Copy
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