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Individual

LAURA LEEANNE JIMISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT/LMT

Contact information

Practice address
746 TIFFANY BLVD APT E, ROCKY MOUNT, NC 27804-1830
(719) 696-2726
Mailing address
746 TIFFANY BLVD APT E, ROCKY MOUNT, NC 27804-1830
(719) 696-2726

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
673481
NC
225700000X
Massage Therapist
MT.0022119
CO

Other

Enumeration date
09/24/2020
Last updated
09/17/2021
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