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1881227999
JESSICA WEIGOLD
FORT WAYNE, IN
NPI
1881227999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT21706267)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
JESSICA WEIGOLD LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
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Mailing Address
JESSICA WEIGOLD LMT
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6826
Phone number: 260-459-1111
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