Individual
DAN FAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
482 TURKEY CRK, ALACHUA, FL 32615-9303
(602) 888-3261
Mailing address
482 TURKEY CRK, ALACHUA, FL 32615-9303
(602) 888-3261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 72389
FL
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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