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Individual

NORMA JAYE FITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
201 W BROADWAY, BLDG 3 G, COLUMBIA, MO 65203-3842
(573) 256-7535
Mailing address
PO BOX 7734, COLUMBIA, MO 65205-7734
(573) 817-0565

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2003023904
MO

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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