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Individual

MRS. LOIS MYRLEEN HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.T.

Contact information

Practice address
880 5TH ST NW, NAPLES, FL 34120-2098
(239) 821-5695
Mailing address
880 5TH ST NW, NAPLES, FL 34120-2098
(239) 821-5695

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63569
FL
225700000X
Massage Therapist
MSG 002567
PA

Other

Enumeration date
10/23/2012
Last updated
10/23/2012
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