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1902034978
LARRY GENE DEARFIELD
ORLANDO, FL
NPI
1902034978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA47738)
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
-- LARRY GENE DEARFIELD MA47738
4611 EDGEWATER DR
ORLANDO, FL 32804-1121
Phone number: 407-451-0219
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Mailing Address
-- LARRY GENE DEARFIELD MA47738
4611 EDGEWATER DR
ORLANDO, FL 32804-1121
Phone number: 407-451-0219
Copy
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