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Individual

ELEANOR E CARACCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
1046 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4706
(772) 334-0101
Mailing address
1046 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4706
(772) 334-0101

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MA 5958
FL

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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