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1497354104
LOLA HERNDON
BELLEVILLE, IL
NPI
1497354104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2014031513)
Enumeration Date
2020-10-22
Last Update Date
2020-11-10
Business Address
Mrs. LOLA HERNDON
844 WILSHIRE DR
BELLEVILLE, IL 62223-2623
Phone number: 314-380-4202
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Mailing Address
Mrs. LOLA HERNDON
844 WILSHIRE DR
BELLEVILLE, IL 62223-2623
Phone number: 314-380-4202
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