Individual
MADISON MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4200 NW 97TH BLVD, GAINESVILLE, FL 32606-3742
(352) 672-2893
Mailing address
2600 SW WILLISTON RD APT 802, GAINESVILLE, FL 32608-3949
(352) 672-2893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95167
FL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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