Individual
MR. JON SEVEN MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1619 FOURAKER RD, JAX, FL 32221-5724
(904) 783-1855
(904) 783-1855
Mailing address
1619 FOURAKER RD, JAX, FL 32221-5724
(904) 783-1855
(904) 783-1855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA6546
FL
Other
Enumeration date
08/05/2008
Last updated
08/13/2008
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