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1457781932
JACQUELINE R. MATTINGLY
LEBANON, KY
NPI
1457781932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 5049)
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
Ms. JACQUELINE R. MATTINGLY LMT
322 S HARRISON ST
LEBANON, KY 40033-1132
Phone number: 270-321-0019
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Mailing Address
Ms. JACQUELINE R. MATTINGLY LMT
322 S HARRISON ST
LEBANON, KY 40033-1132
Phone number: 270-321-0019
Copy
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