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Individual

MR. BILLY JACOB ESTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
606 JUPITER BLVD NW, PALM BAY, FL 32907-8204
(904) 571-3815
Mailing address
606 JUPITER BLVD NW, PALM BAY, FL 32907-8204
(904) 571-3815

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62767
FL

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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