Individual
MR. GARY JUERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
715 E LANCASTER AVE, DOWNINGTOWN, PA 19335-2719
(484) 879-4046
Mailing address
644 BRIDGE ST, MONT CLARE, PA 19453-5004
(267) 240-9467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG005507
PA
Other
Enumeration date
08/01/2017
Last updated
07/26/2021
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