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1356192918
CONESHA MICHAEL
JACKSON, MS
NPI
1356192918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MS 2917)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
CONESHA MICHAEL MT
262 IRIS AVE
JACKSON, MS 39206-3905
Phone number: 769-798-6814
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Mailing Address
CONESHA MICHAEL MT
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157-2079
Phone number: 769-798-6814
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