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License Number:
14237
Licensing Entity:
Board of Registration of Massage Therapy
License Type:
Massage Therapist Practitioner
Type Class:
MT
License Issue Date:
10/21/2016
License Expiration Date:
05/28/2024
Status:
Current
Current Discipline:
Prior Discipline:
Name:
Santos L Dealba
Business Name:
DBA Name: