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Individual
NIKITA LYASHENKO
Active
Individual
NIKITA LYASHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA55642
LMT
FL
Enumeration date
02/01/2012
Last updated
02/01/2012
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