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1497353940
CHALISA THAVONRUNGKIT
LOS ANGELES, CA
NPI
1497353940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 76682)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
Ms. CHALISA THAVONRUNGKIT
5440 CARLTON WAY APT 105
LOS ANGELES, CA 90027-4878
Phone number: 213-268-1246
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Mailing Address
Ms. CHALISA THAVONRUNGKIT
5440 CARLTON WAY APT 105
LOS ANGELES, CA 90027-4878
Phone number: 213-268-1246
Copy
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