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Individual
MICHAEL LAURENS MASUCCI
Active
Individual
MICHAEL LAURENS MASUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2014013287
MO
111N00000X
Chiropractor
Primary
CH12555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014013287
MISSOURI LICENSURE
MO
01
—
CH12555
FLORIDA LICENSURE
FL
Enumeration date
05/05/2014
Last updated
06/04/2024
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