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1083835128
LESLIE THERESE SHUTACK
OCALA, FL
NPI
1083835128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL pta19384)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- LESLIE THERESE SHUTACK LPTA
6658 NW 4TH AVE
OCALA, FL 34475
Phone number: 352-342-1679
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Mailing Address
-- LESLIE THERESE SHUTACK LPTA
6658 NW 4TH AVE
OCALA, FL 34475
Phone number: 352-342-1679
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