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1902045958
LESIA J NULL
SOUTH CHARLESTON, WV
NPI
1902045958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WV 20082507)
Enumeration Date
2009-02-16
Last Update Date
2009-02-16
Business Address
Miss LESIA J NULL LMT
4834 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1340
Phone number: 304-768-6106
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Mailing Address
Miss LESIA J NULL LMT
29 LAKE SHORE DR
CROSS LANES, WV 25313-3505
Phone number: 304-552-5097
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