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1881200269
JESSICA A BURNETTE
PORTSMOUTH, VA
NPI
1881200269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019011564)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
JESSICA A BURNETTE
104 MAXWELL AVE
PORTSMOUTH, VA 23702-1340
Phone number: 252-564-5612
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Mailing Address
JESSICA A BURNETTE
104 MAXWELL AVE
PORTSMOUTH, VA 23702-1340
Phone number: 252-564-5612
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