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1740817907
TRACY CARPENTER
KENOSHA, WI
NPI
1740817907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 13288-146)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
TRACY CARPENTER LMY
6811 118TH AVE
KENOSHA, WI 53142-8420
Phone number: 262-857-5750
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Mailing Address
TRACY CARPENTER LMY
1020 N 12TH ST
MILWAUKEE, WI 53233-1308
Phone number: 414-403-8004
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