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Individual

LAURA HEPNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT; MR; CST

Contact information

Practice address
1015 ARTHUR J MOORE DR, SAINT SIMONS ISLAND, GA 31522-2206
(912) 634-1993
(912) 634-1166
Mailing address
1015 ARTHUR J MOORE DR, SAINT SIMONS ISLAND, GA 31522-2206
(912) 634-1993
(912) 634-1166

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT007017
GA
225700000X
Massage Therapist
Primary
MT007017
GA

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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