KYOKO PROVENCIO

JACKSONVILLE, AR
NPI1659904514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AR  7773)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
KYOKO PROVENCIO
136 GREGORY PL
JACKSONVILLE, AR 72076-3212
Phone number: 501-412-4536
Mailing Address
KYOKO PROVENCIO
136 GREGORY PL
JACKSONVILLE, AR 72076-3212
Phone number: 501-412-4536
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