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1578006706
LUIZ AUGUSTO BISACCHI
TAMPA, FL
NPI
1578006706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA83274)
Enumeration Date
2016-11-19
Last Update Date
2016-11-19
Business Address
-- LUIZ AUGUSTO BISACCHI LMT
12102 CHESTER TERRACE CT
TAMPA, FL 33626-2698
Phone number: 813-361-1538
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Mailing Address
-- LUIZ AUGUSTO BISACCHI LMT
12102 CHESTER TERRACE CT
TAMPA, FL 33626-2698
Phone number: 813-361-1538
Copy
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