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Individual

MISS CHIQUITA LINAIL JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICENSED MASSAGE THE

Contact information

Practice address
451 BROAD ST, AUGUSTA, GA 30901-1519
(706) 284-1092
Mailing address
120 CONIFER DR, NORTH AUGUSTA, SC 29841-3901
(706) 284-1092

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
6188
SC
225700000X
Massage Therapist
Primary
MT005546
GA

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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