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Individual

MS. LAURA LEE GRUENWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
15807 91ST TER N, JUPITER, FL 33478-6926
(561) 312-7835
Mailing address
15807 91ST TER N, JUPITER, FL 33478-6926
(561) 312-7835

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 49722
FL

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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