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MISS GABRIELLE BANKSTON LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1710360847

Individual Registrant:
MISS GABRIELLE  BANKSTON LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
191 JONESVILLE AVE  YEMASSEE, SC 29945-4703 US
Tel: 843-214-8646  Fax: --

Contact information for business:
191 JONESVILLE AVE  YEMASSEE, SC 29945-4703 US
Tel: 843-214-8646  Fax: --

Registration Information:
NPI: 1710360847
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
SC8955

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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