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Individual

JENNIFER LAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
140 PECAN ST, KELLER, TX 76248-2215
(817) 812-6393
Mailing address
3924 POLAR BROOK DR, FORT WORTH, TX 76244-7429
(432) 770-0611

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT036094
TX

Other

Enumeration date
02/02/2023
Last updated
02/02/2023
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