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1770822355
AUTUMN GRANSBERRY
NEW BERLIN, WI
NPI
1770822355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 11942-146)
Enumeration Date
2013-02-02
Last Update Date
2013-02-02
Business Address
-- AUTUMN GRANSBERRY LMT
15720 W NATIONAL AVE
NEW BERLIN, WI 53151-5119
Phone number: 262-785-5515
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Mailing Address
-- AUTUMN GRANSBERRY LMT
4024 N 98TH ST
MILWAUKEE, WI 53222-1421
Phone number: 414-336-0683
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