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1588147573
CHANITA JEDLICKA
WAUKESHA, WI
NPI
1588147573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 14630-146)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
CHANITA JEDLICKA
403 N GRAND AVE
WAUKESHA, WI 53186-4913
Phone number: 262-547-1411
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Mailing Address
CHANITA JEDLICKA
403 N GRAND AVE
WAUKESHA, WI 53186-4913
Phone number: 262-547-1411
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