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1235466012
MELINDA LOU MOORE
FORT MYERS, FL
NPI
1235466012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL ma52480)
Enumeration Date
2009-11-16
Last Update Date
2009-11-16
Business Address
Ms. MELINDA LOU MOORE lmt
16313 S TAMIAMI TRL
FORT MYERS, FL 33908-5326
Phone number: 239-267-5067
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Mailing Address
Ms. MELINDA LOU MOORE lmt
16313 S TAMIAMI TRL
FORT MYERS, FL 33908-5326
Phone number: 239-267-5067
Copy
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