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Individual

MISS LAUREN ELYSE BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
1291 WINTER GARDEN VINELAND RD, #130, WINTER GARDEN, FL 34787-6705
(407) 614-5900
(407) 614-5903
Mailing address
1291 WINTER GARDEN VINELAND RD, #130, WINTER GARDEN, FL 34787-6705
(407) 614-5900
(407) 614-5903

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59939
FL

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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