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1710112198
LARISA S AGREST
CHARLESTON, SC
NPI
1710112198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: SC 1496)
Enumeration Date
2009-05-28
Last Update Date
2009-05-28
Business Address
Mrs. LARISA S AGREST LMT
4 CARRIAGE LN
CHARLESTON, SC 29407-6065
Phone number: 843-766-1119
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Mailing Address
Mrs. LARISA S AGREST LMT
1376 PARKSHORE DR
CHARLESTON, SC 29407-3124
Phone number: 843-607-7143
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