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1902413685
LACEY LAVERNE FARAH
PINOLE, CA
NPI
1902413685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 43394)
Enumeration Date
2020-09-28
Last Update Date
2024-09-24
Business Address
Miss LACEY LAVERNE FARAH ANMT
400 SUMMIT DR
PINOLE, CA 94564-1625
Phone number: 707-703-0997
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Mailing Address
Miss LACEY LAVERNE FARAH ANMT
400 SUMMIT DR
PINOLE, CA 94564-1625
Phone number: 707-703-0997
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