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1710740584
ALLEN MICHAEL FORTIER
PORT SAINT LUCIE, FL
NPI
1710740584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA64378)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
ALLEN MICHAEL FORTIER LMT
2140 SW LARCHMONT LN
PORT SAINT LUCIE, FL 34984-4321
Phone number: 954-634-2501
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Mailing Address
ALLEN MICHAEL FORTIER LMT
2140 SW LARCHMONT LN
PORT SAINT LUCIE, FL 34984-4321
Phone number: 772-634-0252
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