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Individual

MISS CORY AMBER SCURLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
128 AVENIDA SAN DIMAS APT C, SAN CLEMENTE, CA 92672-1417
(800) 696-9747
Mailing address
PO BOX 3753, SAN CLEMENTE, CA 92674-3753
(800) 696-9747

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22114
CA

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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