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1093707713
MARK NILES
DAVIE, FL
NPI
1093707713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 4421)
Enumeration Date
2005-08-18
Last Update Date
2008-02-05
Business Address
Mr. MARK NILES PT
2180 SW 115TH TER
DAVIE, FL 33325-4854
Phone number: 954-816-1029
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Mailing Address
Mr. MARK NILES PT
2180 SW 115TH TER
DAVIE, FL 33325-4854
Phone number: 954-816-1029
Copy
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