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1013622455
CLAYTON MAGNUSON
MERRITT ISLAND, FL
NPI
1013622455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA32525)
Enumeration Date
2023-01-19
Last Update Date
2023-01-19
Business Address
CLAYTON MAGNUSON PTA
125 ALMA BLVD
MERRITT ISLAND, FL 32953-4345
Phone number: 321-453-0202
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Mailing Address
CLAYTON MAGNUSON PTA
1600 GLEN HAVEN DR
MERRITT ISLAND, FL 32952-5863
Phone number: 321-474-1552
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