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1275157554
JESSICA MICKELSEN
FORT MYERS, FL
NPI
1275157554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA92171)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
JESSICA MICKELSEN BS, CNIM, LMT
13440 PARKER COMMONS BLVD STE 103
FORT MYERS, FL 33912-1816
Phone number: 239-671-0695
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Mailing Address
JESSICA MICKELSEN BS, CNIM, LMT
9720 GLADIOLUS PRESERVE CIR
FORT MYERS, FL 33908-9720
Phone number: 239-671-0695
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