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1184337776
MIRANDA LYNN LARSON
ROSEVILLE, CA
NPI
1184337776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 88128)
Enumeration Date
2022-12-29
Last Update Date
2024-02-07
Business Address
MIRANDA LYNN LARSON CMT NMT
1380 LEAD HILL BLVD STE 211
ROSEVILLE, CA 95661-2997
Phone number: 916-530-0029
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Mailing Address
MIRANDA LYNN LARSON CMT NMT
1380 LEAD HILL BLVD STE 211
ROSEVILLE, CA 95661-2997
Phone number: 916-530-0029
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