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Individual

MRS. DEBBIE RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT LICENSED MASSAGE

Contact information

Practice address
1003 S ALEXANDER STREET, SUITE 4, PLANT CITY, FL 33563
(813) 719-1963
Mailing address
1003 S ALEXANDER STREET, SUITE 4, PLANT CITY, FL 33563
(813) 719-1963

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C5740
BLUECROSS BSHIELD
FL
01
MM0015647
STATE OF FL
FL
Enumeration date
04/04/2007
Last updated
07/08/2007
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