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1972169308
LISA BALLONI
PORT JEFFERSON STATION, NY
NPI
1972169308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 015698-1)
Enumeration Date
2019-05-10
Last Update Date
2019-05-10
Business Address
LISA BALLONI LMT
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776-6000
Phone number: 631-828-4545
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Mailing Address
LISA BALLONI LMT
66 RIALTO WAY
PATCHOGUE, NY 11772-3566
Phone number:
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