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1780852889
MICHAEL D GRISE
HOPKINSVILLE, KY
NPI
1780852889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY ky0195)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- MICHAEL D GRISE lmt, est
1202 SKYLINE DR
HOPKINSVILLE, KY 42240-4937
Phone number: 270-881-1005
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Mailing Address
-- MICHAEL D GRISE lmt, est
4044 FORT CAMPBELL BLVD PMB 124
HOPKINSVILLE, KY 42240-4950
Phone number: 270-305-1817
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