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Individual

KENDALL BRUTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4150 N ARMENIA AVE, SUITE 201, TAMPA, FL 33607-6448
(813) 443-5116
(813) 374-2125
Mailing address
32352 FISH HOOK LOOP, WESLEY CHAPEL, FL 33545-1636
(813) 395-6695

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
58078
FL

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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