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1225852478
IZAAK COSCIA
DES PERES, MO
NPI
1225852478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2023003589)
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
IZAAK COSCIA LMT
12139 MANCHESTER RD
DES PERES, MO 63131-4310
Phone number: 202-039-4743
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Mailing Address
IZAAK COSCIA LMT
1222 LUCAS AVE APT 510
SAINT LOUIS, MO 63103-1942
Phone number: 203-947-4316
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