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1437641834
KELLY MARIE CARPENTER
SAN JOSE, CA
NPI
1437641834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 75185)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
KELLY MARIE CARPENTER CMT
2075 LINCOLN AVE
SAN JOSE, CA 95125-3513
Phone number: 669-235-7754
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Mailing Address
KELLY MARIE CARPENTER CMT
PO BOX 8036
SAN JOSE, CA 95155-8036
Phone number: 669-235-7754
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