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1578062014
LISA MARIE BONAVENTURA
MOUNT PLEASANT, SC
NPI
1578062014
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Former Name
LISA MARIE MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 5139)
Enumeration Date
2018-02-11
Last Update Date
2018-02-11
Business Address
Miss LISA MARIE BONAVENTURA LMT
1501 N HIGHWAY 17 UNIT J
MOUNT PLEASANT, SC 29464-3342
Phone number: 843-412-7033
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Mailing Address
Miss LISA MARIE BONAVENTURA LMT
367 PLUFF MUD ALY
MOUNT PLEASANT, SC 29464-8149
Phone number: 843-412-7033
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