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Individual

MS. JACQUELINE ANN BUDDINGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
611 S PROSPECT AVE, 611 PROSPECT AVE S, CLEARWATER, FL 33756-5627
(727) 461-2500
(727) 461-2500
Mailing address
PO BOX 5767, CLEARWATER, FL 33758-5767
(727) 461-2500
(727) 461-2500

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA34537
FL

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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