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Organization
REVEILLE LLC
Active
Organization
REVEILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE G VENTURA LMT (OWNER)
(321) 361-7949
Entity
Organization
Contact information
Practice address
717 S COCOA BLVD STE 202, COCOA, FL 32922-7659
(321) 361-7949
Mailing address
717 S COCOA BLVD STE 202, COCOA, FL 32922-7659
(321) 361-7949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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