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Organization
BODY RENEWAL LASER CENTERS LLC
Active
Organization
BODY RENEWAL LASER CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCIE JEAN BRENES DOM, AP (OWNER)
(941) 751-2345
Entity
Organization
Contact information
Practice address
6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
(941) 751-2345
(941) 751-6336
Mailing address
6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
(941) 751-2345
(941) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2026
FL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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