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Mark
Mark
Mirabella
Massage therapist
New Haven, United States
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Florida Health Care Practitioner Data Portal
Full name
Mark Mirabella
Job Title
Massage Therapist
Location
New Haven, CT, USA
Title
Jr
LIC ID
109982
Current License Expiration Date
31/08/2025
Original Date
11/12/2023
Professional Rank Code
MA
Effective Date
11/12/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
774 Orange Street
Practice Location Address City
NEW HAVEN
Practice Location Address State
CT
Practice Location Address Zipcode
06511
Prescribing Indicator
N
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