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Individual

MRS. CLARA PAULINE BROSNAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, NCBTMB

Contact information

Practice address
904 KENNY DR, PENSACOLA, FL 32504-8127
(850) 384-5894
(850) 474-1550
Mailing address
904 KENNY DR, PENSACOLA, FL 32504-8127
(850) 384-5894
(850) 474-1550

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37117
FL

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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