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1164663076
WAYNE P. MCKENNA
SARASOTA, FL
NPI
1164663076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA47821)
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
Mr. WAYNE P. MCKENNA LMT
8301 POTTER PARK DR
SARASOTA, FL 34238-5518
Phone number: 941-928-8713
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Mailing Address
Mr. WAYNE P. MCKENNA LMT
139 LAZY RIVER RD
NORTH PORT, FL 34287-3306
Phone number: 941-928-8713
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