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Individual

ERIC GENE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2386 VILLANOVA CIR # NA, JACKSONVILLE, FL 32218-5123
(904) 316-8738
Mailing address
2386 VILLANOVA CIR # NA, JACKSONVILLE, FL 32218-5123
(904) 316-8738

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77350
FL

Other

Enumeration date
09/19/2020
Last updated
09/19/2020
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