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Organization
UNIVERSITY SPORTS MASSAGE INC.
Active
Organization
UNIVERSITY SPORTS MASSAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBRA BROOKE LUCAS LMT (PRESIDENT)
(352) 373-6869
Entity
Organization
Contact information
Practice address
920 NW 8TH AVE, SUITE A, GAINESVILLE, FL 32601-5071
(352) 373-6869
Mailing address
920 NW 8TH AVE, SUITE A, GAINESVILLE, FL 32601-5071
(352) 373-6869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM20162
FL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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