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Individual

MR. BRIAN IRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL 32822-2700
(407) 275-9334
(407) 275-9395
Mailing address
5555 E MICHIGAN ST, SUITE 102, ORLANDO, FL 32822-2700
(407) 275-9334
(407) 275-9395

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52265
FL

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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