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1568897478
LISA M KRISTOFFERSEN
GRAYSLAKE, IL
NPI
1568897478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.010659)
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
Ms. LISA M KRISTOFFERSEN LMT
11 S LAKE ST # 3
GRAYSLAKE, IL 60030-1511
Phone number: 847-693-1515
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Mailing Address
Ms. LISA M KRISTOFFERSEN LMT
11 S LAKE ST # 3
GRAYSLAKE, IL 60030-1511
Phone number: 847-693-1515
Copy
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