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1972888758
LISA NICOLE MCENTIRE
DALLAS, GA
NPI
1972888758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT004159)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
-- LISA NICOLE MCENTIRE L.M.T
119 FAIRVIEW OAK TRACE
DALLAS, GA 30157
Phone number: 706-853-1787
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Mailing Address
-- LISA NICOLE MCENTIRE L.M.T
119 FAIRVIEW OAK TRACE
DALLAS, GA 30157
Phone number: 706-853-1787
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