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1043353410
JELTSJE WILLEMIEN DERKSEN
JACKSONVILLE, FL
NPI
1043353410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT17923)
Enumeration Date
2007-02-15
Last Update Date
2010-06-18
Business Address
-- JELTSJE WILLEMIEN DERKSEN PT
4131 UNIVERSITY BLVD S SUITE 17
JACKSONVILLE, FL 32216-4326
Phone number: 904-722-1515
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Mailing Address
-- JELTSJE WILLEMIEN DERKSEN PT
1157 LINKSIDE CT E
ATLANTIC BEACH, FL 32233-4386
Phone number: 904-982-2193
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