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1770639965
KRISTY J ELLSWORTH
CLIO, MI
NPI
1770639965
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Former Name
KRISTY J BORDERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: MI Massage Therapist)
Enumeration Date
2007-01-28
Last Update Date
2007-07-08
Business Address
Mrs. KRISTY J ELLSWORTH CMT
3212 CENTENNIAL OAK CT
CLIO, MI 48420-2900
Phone number: 810-687-0941
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Mailing Address
Mrs. KRISTY J ELLSWORTH CMT
3212 CENTENNIAL OAK CT
CLIO, MI 48420-2900
Phone number: 810-687-0941
Copy
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