Individual
LORI GULBRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 S JEFFERSON ST, PERRY, FL 32347-4116
(850) 843-2537
Mailing address
721 S JEFFERSON ST, PERRY, FL 32347-4116
(850) 843-2537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM41211
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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