Individual
MR. GARY H VIGEANT
Active
Individual
MR. GARY H VIGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11901
OR
225700000X
Massage Therapist
Primary
MA 00020866
WA
225700000X
Massage Therapist
MA00022138
FL
Other
Enumeration date
11/20/2006
Last updated
09/09/2007
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