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1013682426
JARUPONG JARUKAMON
PENSACOLA, FL
NPI
1013682426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA30718)
Enumeration Date
2021-08-09
Last Update Date
2021-09-24
Business Address
JARUPONG JARUKAMON PTA
288 E OLIVE RD APT 12A
PENSACOLA, FL 32514-4571
Phone number: 850-217-1848
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Mailing Address
JARUPONG JARUKAMON PTA
288 E OLIVE RD APT 12A
PENSACOLA, FL 32514-4571
Phone number: 850-217-1848
Copy
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