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1225795248
IVAN OLIVA GEREZ
LAKELAND, FL
NPI
1225795248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA87594)
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
IVAN OLIVA GEREZ
2417 US HIGHWAY 98 N
LAKELAND, FL 33805-2410
Phone number: 305-534-0076
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Mailing Address
IVAN OLIVA GEREZ
1400 NW 107TH AVE STE 500
SWEETWATER, FL 33172-2746
Phone number: 305-534-0076
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