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1548547367
KENNETH EDWIN MUCK
MELBOURNE, FL
NPI
1548547367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA29049)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
MR. KENNETH EDWIN MUCK LMT
1490 AVOCADO AVE
MELBOURNE, FL 32935-6532
Phone number: 321-252-5253
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Mailing Address
MR. KENNETH EDWIN MUCK LMT
1987 WALLACE AVE
MELBOURNE, FL 32935-3963
Phone number: 321-626-9055
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