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Individual

JESSIE WEINZATL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
411 WESTERN BLVD STE B, JACKSONVILLE, NC 28546-6822
(910) 581-2900
Mailing address
104 YUCCA CT, JACKSONVILLE, NC 28546-6844

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11079
NC

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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