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1932819216
LAKISHA RUSSELL
JACKSONVILLE, FL
NPI
1932819216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA100675)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
Ms. LAKISHA RUSSELL LMT
10273 JOLYNN RD
JACKSONVILLE, FL 32225-6649
Phone number: 904-586-6940
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Mailing Address
Ms. LAKISHA RUSSELL LMT
10273 JOLYNN RD
JACKSONVILLE, FL 32225-6649
Phone number: 904-586-6940
Copy
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