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1245689157
MICHELLE LATHAM
WASILLA, AK
NPI
1245689157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 101342)
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- MICHELLE LATHAM LMT
1701 N SEWARD MERIDIAN PKWY
WASILLA, AK 99654-6682
Phone number: 907-715-1540
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Mailing Address
-- MICHELLE LATHAM LMT
4950 E BIRCH DR
WASILLA, AK 99654-4284
Phone number: 907-715-1540
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