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Individual
MR. RALPH PADUANO
Active
Individual
MR. RALPH PADUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA20998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7197
BC/BS OF FLORIDA
FL
01
—
MA20998
STATE OF FL LICENSE NO.
FL
Enumeration date
06/26/2009
Last updated
06/26/2009
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