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Individual

HUMBERTO M MOLGORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2460 SW 163RD TER, MIRAMAR, FL 33027-4435
(954) 704-2186
Mailing address
2460 SW 163RD TER, MIRAMAR, FL 33027-4435
(954) 704-2186

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50850
FL

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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