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1013613934
TY AUSTIN DURAN
LAKE CITY, FL
NPI
1013613934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2023-02-02
Last Update Date
2023-02-22
Business Address
TY AUSTIN DURAN
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
TY AUSTIN DURAN
493 SW DEXTER CIR APT 207
LAKE CITY, FL 32025-5673
Phone number: 662-803-0436
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