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Individual

MS. KAREN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4811 SERENA CIR, ST AUGUSTINE, FL 32084-7014
(904) 553-4067
(904) 829-0257
Mailing address
4811 SERENA CIR, ST AUGUSTINE, FL 32084-7014
(904) 553-4067
(904) 829-0257

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA9943
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C5133
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/23/2006
Last updated
08/12/2008
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