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1144520255
LILY C. VAN HALEN
GAINESVILLE, FL
NPI
1144520255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: FL MA 60605)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Ms. LILY C. VAN HALEN L.M.T.
1826 NW 10TH ST
GAINESVILLE, FL 32609-3463
Phone number: 310-908-1173
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Mailing Address
Ms. LILY C. VAN HALEN L.M.T.
PO BOX 358303
GAINESVILLE, FL 32635-8303
Phone number: 310-908-1173
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