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KYOKO PROVENCIO
Massage Therapist
NPI: 1659904514Individual
Specialties, Licenses & Credentials
Massage TherapistPrimary
Massage Therapist
Code: 225700000X
7773(AR)
Contact & Hours
- Address
- 136 GREGORY PL
JACKSONVILLE, AR 72076 - Phone
- (501) 412-4536
Quick Facts
- NPI
- 1659904514
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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