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Jiu Huan
Jiu huan
Ba
Massage therapist
Flushing, United States
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Florida Health Care Practitioner Data Portal
Full name
JIU HUAN BA
Job Title
Massage Therapist
Location
Flushing, MI, USA
LIC ID
61000
Current License Expiration Date
31/08/2025
Original Date
18/11/2009
Professional Rank Code
MA
Effective Date
18/11/2009
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
APT 2S
Practice Location Address Line 1
42-02 KISSENA BLVD
Practice Location Address Line 2
APT 2S
Practice Location Address City
FLUSHING
Practice Location Address State
NY
Practice Location Address Zipcode
11355
Prescribing Indicator
N
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