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1780327098
KRISA LYNN FAIRBANKS
BLOOMINGTON, MN
NPI
1780327098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MN 564285-08)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
KRISA LYNN FAIRBANKS NCBTMB, BCTMB, LMT
8120 PENN AVE S STE 100G
BLOOMINGTON, MN 55431-1368
Phone number: 952-333-4644
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Mailing Address
KRISA LYNN FAIRBANKS NCBTMB, BCTMB, LMT
2901 W 70TH ST
RICHFIELD, MN 55423-1906
Phone number: 612-430-5190
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