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1447659008
MICHELLE L CARLSON
PEORIA, IL
NPI
1447659008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 2980-146)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
Mrs. MICHELLE L CARLSON LMT
3322 W WILLOW KNOLLS DR SUITE B
PEORIA, IL 61614-8148
Phone number: 309-690-3322
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Mailing Address
Mrs. MICHELLE L CARLSON LMT
1637 W CLAREWOOD AVE
PEORIA, IL 61614-5736
Phone number: 309-213-4040
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