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Individual

JENIE ASHBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1978 US 1 #107, ROCKLEDGE, FL 32955
(321) 802-1046
Mailing address
5991 ED HARRIS CR, ST CLOUD, FL 34771
(407) 928-7951

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77150
FL

Other

Enumeration date
09/12/2024
Last updated
09/12/2024
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