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Gerong
Gerong
Laxi
Massage therapist
Aventura, United States
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Florida Health Care Practitioner Data Portal
Full name
GERONG LAXI
Job Title
Massage Therapist
Location
Aventura, FL, USA
LIC ID
112021
Current License Expiration Date
31/08/2025
Original Date
29/09/2023
Professional Rank Code
MA
Effective Date
29/09/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Mailing Address Line 2
APT #629
Practice Location Address Line 1
3731 n country club dr
Practice Location Address Line 2
apt #629
Practice Location Address City
AVENTURA
Practice Location Address State
FL
Practice Location Address Zipcode
33180
Prescribing Indicator
N
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