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1033645015
BHUPENDRA SHAH
LIVE OAK, FL
NPI
1033645015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 31275)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- BHUPENDRA SHAH PT
1001 PINEVIEW CIR SW
LIVE OAK, FL 32064-3922
Phone number: 580-504-3391
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Mailing Address
-- BHUPENDRA SHAH PT
1001 PINEVIEW CIR SW
LIVE OAK, FL 32064-3922
Phone number:
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