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Individual

CYNTHIA PROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCMTB

Contact information

Practice address
205 17TH ST, JACKSON, MI 49203-1403
(517) 917-6012
Mailing address
11501 W MICHIGAN AVE, PARMA, MI 49269-9333
(517) 917-6012

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
597534-10
MI

Other

Enumeration date
02/25/2012
Last updated
02/25/2012
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