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1902316201
KESARA MAI NGAM
LAKELAND, FL
NPI
1902316201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA78493)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
KESARA MAI NGAM LMT
117 WEST OAK DRIVE
LAKELAND, FL 33803
Phone number: 863-812-9388
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Mailing Address
KESARA MAI NGAM LMT
117 W OAK DR
LAKELAND, FL 33803-3808
Phone number: 863-812-9388
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