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Organization
PRO MASSAGE
Active
Organization
PRO MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELBA FAYE PELUDAT LMT (OWNER)
(904) 655-3670
Entity
Organization
Contact information
Practice address
621 MARKET ST, ST AUGUSTINE, FL 32095-8892
(904) 540-1198
Mailing address
621 MARKET ST, ST AUGUSTINE, FL 32095-8892
(904) 540-1198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM34066
FL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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