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1003149709
SUSAN MARIE DOMFORT
OCALA, FL
NPI
1003149709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA53889)
Enumeration Date
2009-09-12
Last Update Date
2009-09-12
Business Address
Mrs. SUSAN MARIE DOMFORT LMT,HMLDT,COTA
1328 SE 25TH LOOP SUITE 101
OCALA, FL 34471-1026
Phone number: 352-804-7617
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Mailing Address
Mrs. SUSAN MARIE DOMFORT LMT,HMLDT,COTA
663 SE 19TH ST
OCALA, FL 34471-5324
Phone number: 352-804-7617
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