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Individual

ANGELA BLAKEMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
807 NW 57TH STREET, GAINESVILLE, FL 32605
(407) 808-6612
Mailing address
P.O. BOX 357034, GAINESVILLE, FL 32635-7034
(407) 808-6612

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62908
FL

Other

Enumeration date
05/27/2011
Last updated
05/27/2011
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