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1053935627
IVANA CASTANEDA
FORT WALTON BEACH, FL
NPI
1053935627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
IVANA CASTANEDA
114 3RD ST SE
FORT WALTON BEACH, FL 32548-5401
Phone number: 850-243-6134
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Mailing Address
IVANA CASTANEDA
1801 TAWAKONI LN
PLANO, TX 75075-6733
Phone number: 954-903-8255
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