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Individual

ANTONIO LOYOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6550 SAINT AUGUSTINE RD STE 304, JACKSONVILLE, FL 32217
(904) 374-1387
Mailing address
6550 SAINT AUGUSTINE RD STE 304, JACKSONVILLE, FL 32217-2847
(904) 374-1387
(904) 374-1389

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 66189
FL

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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