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1841814605
SHAWN GREGORY PRATHER
JACKSONVILLE, FL
NPI
1841814605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
225700000X Massage Therapist
(Licence: FL MA105646)
Enumeration Date
2020-06-07
Last Update Date
2024-08-01
Business Address
Mr. SHAWN GREGORY PRATHER LMT, RBT
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258-9486
Phone number: 855-832-6727
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Mailing Address
Mr. SHAWN GREGORY PRATHER LMT, RBT
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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