Individual
MARSHALL BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6421 SW 13TH ST, GAINESVILLE, FL 32608-5419
(352) 378-7891
Mailing address
1924 NW 12TH TER, GAINESVILLE, FL 32609-3419
(352) 317-5709
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51546
FL
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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