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Individual

MARY KYLE BUNNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1187 NW 128TH DR STE 4, NEWBERRY, FL 32669-2397
(352) 275-1394
Mailing address
1187 NW 128TH DR, NEWBERRY, FL 32669-2397
(352) 275-1394

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA4633
FL

Other

Enumeration date
11/24/2008
Last updated
02/07/2023
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