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1619267101
MELISSA WALLACE
LOUISVILLE, KY
NPI
1619267101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 3806)
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
MELISSA WALLACE
161 CACTUS CT
LOUISVILLE, KY 40229-3109
Phone number: 502-510-6747
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Mailing Address
MELISSA WALLACE
161 CACTUS CT
LOUISVILLE, KY 40229-3109
Phone number:
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