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1902574999
LACY MAE JOHNSON
SOUTH OGDEN, UT
NPI
1902574999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 9199023-4701)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
LACY MAE JOHNSON Massage Therapist
1190 E 5425 S STE 210
SOUTH OGDEN, UT 84403-5194
Phone number: 385-400-9193
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Mailing Address
LACY MAE JOHNSON Massage Therapist
1190 E 5425 S STE 210
SOUTH OGDEN, UT 84403-5194
Phone number: 385-400-9193
Copy
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