RUSSELL DONOVAN LORD

PANAMA CITY, FL
NPI1861615650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA-11342)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- RUSSELL DONOVAN LORD L.M.T.
449 W 23RD ST
PANAMA CITY, FL 32405-4507
Phone number: 850-814-7980
Mailing Address
-- RUSSELL DONOVAN LORD L.M.T.
PO BOX 823
LYNN HAVEN, FL 32444-0823
Phone number: 850-814-7980
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