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Individual

MRS. ELICIA KENDALL PRINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
122 SW MONROE AVE, MAYO, FL 32066-4710
(386) 294-1995
Mailing address
PO BOX 536, MAYO, FL 32066-0536
(386) 249-3842

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA62911
FL

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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