JAN LEE BIVINS

ODESSA, TX
NPI1780019869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: TX  MT027544)
Enumeration Date2013-09-09
Last Update Date2013-09-09
Business Address
Mrs. JAN LEE BIVINS Massage Therapist
322 N TEXAS AVE STE 2
ODESSA, TX 79761-5184
Phone number: 432-352-4570
Mailing Address
Mrs. JAN LEE BIVINS Massage Therapist
5514 W MILES ST
ODESSA, TX 79763-9000
Phone number: 432-352-4570
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