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Individual

LAURANE TILQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
5169 S UNIVERSITY DR, DAVIE, FL 33328-4508
(954) 829-1860
Mailing address
521 N 72ND AVE, HOLLYWOOD, FL 33024-7111
(954) 829-1860

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA56092
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA56092
STATE OF FLORIDA
FL
Enumeration date
06/27/2010
Last updated
06/27/2010
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