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1043725955
JOSEPH GANNUSCIO
LUTZ, FL
NPI
1043725955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL pt7919)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
JOSEPH GANNUSCIO
22629 LAURELDALE DR
LUTZ, FL 33549-8788
Phone number: 813-618-2602
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Mailing Address
JOSEPH GANNUSCIO
22629 LAURELDALE DR
LUTZ, FL 33549-8788
Phone number:
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