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1548790298
FRESH HEADS LICE REMOVAL
JACKSONVILLE, FL
NPI
1548790298
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Entity Type
Organization
Authorized Contact
DWIGHT L OTTESEN
Owner
904-686-4175
Organization Subpart ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
FRESH HEADS LICE REMOVAL
13241 BARTRAM PARK BLVD UNIT 1801
JACKSONVILLE, FL 32258-5227
Phone number: 904-517-4087
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Mailing Address
FRESH HEADS LICE REMOVAL
653 LAKE STONE CIR
PONTE VEDRA BEACH, FL 32082-4342
Phone number: 904-235-3157
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