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Individual

GLORYIAN D. EWING

Active
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Individual

GLORYIAN D. EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, LPN

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN 5178499
FL
225700000X
Massage Therapist
Primary
MA102448
FL
225700000X
Massage Therapist
MA44439
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A25766
FL
Enumeration date
05/14/2010
Last updated
06/17/2026
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