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1871780387
LISA GAIL BLACK
HUNTINGTON, WV
NPI
1871780387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WV 0252)
Enumeration Date
2007-09-28
Last Update Date
2007-09-28
Business Address
Mrs. LISA GAIL BLACK LMT
525 13TH AVENUE
HUNTINGTON, WV 25701
Phone number: 304-781-2275
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Mailing Address
Mrs. LISA GAIL BLACK LMT
525 13TH AVENUE
HUNTINGTON, WV 25701
Phone number: 304-781-2275
Copy
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