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Glenn Randolph Gaffney, LMT
Contractor in St Augustine, Florida
NPI 1871617340

Glenn Randolph Gaffney is a Contractor based in St Augustine, FL. Glenn Randolph Gaffney practices in St Augustine, FL and has the professional credentials of LMT. The NPI Number for Glenn Randolph Gaffney is 1871617340 and holds a License No. MA002007 (Florida).

The current practice location address for Glenn Randolph Gaffney is 2225 A1A S, St Augustine, FL and can be reached out via phone at 904-461-9901.

Location: 2225 A1A S, St Augustine, FL, 32080-2916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871617340
Provider Name
Glenn Randolph Gaffney
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2225 A1A S, St Augustine, FL, 32080-2916
Phone Number
904-461-9901
Fax Number
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA002007 01 FL FL MASSAGE THERAPY LIC #
institution
Provider Business Practice Location Address Details
Address
2225 A1A S
City
St Augustine
State
Florida
Zip
32080-2916
Phone Number
904-461-9901
Fax Number
person
Provider Business Mailing Address Details
Address
2225 A1A S
City
St Augustine
State
Florida
Zip
32080-2916
Phone Number
904-461-9901
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
MA002007 (Florida)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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