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Individual
DIANE GRUENEWALD
Active
Individual
DIANE GRUENEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA40011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA40011
MASSAGE THERAPY
FL
01
—
MM26912
MASSAGE THERAPY BUSINESS
—
Enumeration date
10/02/2014
Last updated
10/02/2014
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