Individual
MS. BLAIR E BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3442 SE LAKE WEIR AVE STE A, OCALA, FL 34471-6712
(352) 369-4772
Mailing address
10421 SE 69TH TER, BELLEVIEW, FL 34420-9317
(352) 209-2684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
51114
FL
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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