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1962762153
KIM LEE FERNANDES
HYANNIS, MA
NPI
1962762153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MA 777)
Enumeration Date
2012-05-21
Last Update Date
2013-06-14
Business Address
-- KIM LEE FERNANDES
540 MAIN ST
HYANNIS, MA 02601-5100
Phone number: 508-694-6598
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Mailing Address
-- KIM LEE FERNANDES
PO BOX 1083
OSTERVILLE, MA 02655-5083
Phone number: 508-790-0606
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