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1609480979
LA SHAN BRIDGET ETTRESS
MCDONOUGH, GA
NPI
1609480979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT012485)
Enumeration Date
2020-09-03
Last Update Date
2022-02-04
Business Address
Ms. LA SHAN BRIDGET ETTRESS MT
1660 NEIGHBORHOOD WALK
MCDONOUGH, GA 30252-8645
Phone number: 323-835-7306
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Mailing Address
Ms. LA SHAN BRIDGET ETTRESS MT
100 POSTMASTER DR UNIT 3082
MCDONOUGH, GA 30253-2832
Phone number: 678-719-9703
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