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1841049152
GLOW MED LOUNGE LLC
FORT PIERCE, FL
NPI
1841049152
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Entity Type
Organization
Authorized Contact
CORALIS M PENA SANTANA
Owner Ap RN
787-923-1116
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
GLOW MED LOUNGE LLC
723 WORLINGTON LN
FORT PIERCE, FL 34947-1351
Phone number: 787-923-1116
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Mailing Address
GLOW MED LOUNGE LLC
723 WORLINGTON LN
FORT PIERCE, FL 34947-1351
Phone number: 787-923-1116
Copy
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