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Individual

MR. BENJAMIN TERRELL RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2730 CENTRAL AVE, ST PETERSBURG, FL 33712-1153
(727) 420-8293
Mailing address
2730 CENTRAL AVE, ST PETERSBURG, FL 33712-1153

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24865
FL

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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