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Individual
GARY DAVID PAJONK
Active
Individual
GARY DAVID PAJONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
FL RN 1038922
FL
225700000X
Massage Therapist
MA 5079
FL
Other
Enumeration date
10/09/2010
Last updated
10/09/2010
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