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Individual

MS. SHERRY L MCGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
ENGLISH VILLAGE, SUITE 315, LAKE HAVASU CITY, AZ 86403-0802
(928) 855-4664
(928) 453-7607
Mailing address
1800 MONTANA VISTA, LAKE HAVASU CITY, AZ 86403-9363
(928) 855-4664
(928) 453-7607

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-03867P
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT-03867P
LICENSED MASSAGE THERAPIST
AZ
Enumeration date
04/06/2012
Last updated
04/06/2012
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