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1912436957
CHRISTINA LICONA
OWASSO, OK
NPI
1912436957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OK 156805)
Enumeration Date
2017-06-04
Last Update Date
2017-06-04
Business Address
CHRISTINA LICONA LMT
12806 E 86TH PL N
OWASSO, OK 74055-2687
Phone number: 918-277-1242
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Mailing Address
CHRISTINA LICONA LMT
7905 N 122ND EAST AVE
OWASSO, OK 74055-3529
Phone number: 918-277-1242
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