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1992023030
LISA JACKSON
GAINESVILLE, FL
NPI
1992023030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA45132)
Enumeration Date
2010-05-13
Last Update Date
2011-11-23
Business Address
-- LISA JACKSON LMT, PT, AS, CHHC
7200 SW 8TH AVE APT 9
GAINESVILLE, FL 32607-1883
Phone number: 352-222-5381
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Mailing Address
-- LISA JACKSON LMT, PT, AS, CHHC
7200 SW 8TH AVE # B-9
GAINESVILLE, FL 32607-1888
Phone number: 352-222-5381
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