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1619418019
JACQUELINE MARGARET JOHNSEN
LIBERTYVILLE, IL
NPI
1619418019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227-012005)
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
JACQUELINE MARGARET JOHNSEN LMT
1113 S MILWAUKEE AVE SUITE 201
LIBERTYVILLE, IL 60048-3758
Phone number: 847-693-9775
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Mailing Address
JACQUELINE MARGARET JOHNSEN LMT
232 STATION PARK CIR
GRAYSLAKE, IL 60030-2468
Phone number: 847-693-9775
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