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Individual

LEANNE RAZDEBA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
28412 US HIGHWAY 19 N, SUITE 2, CLEARWATER, FL 33761-2518
(727) 712-2212
Mailing address
28412 US HIGHWAY 19 N, SUITE 2, CLEARWATER, FL 33761-2518
(727) 712-2212

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24849
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C9079
BCBS OF FLORIDA
Enumeration date
11/09/2005
Last updated
07/08/2007
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