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1104078708
LARRY DARNELL SMITH
TALLAHASSEE, FL
NPI
1104078708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT10110)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
Mr. LARRY DARNELL SMITH Physical Therapist
914 TAMARACK AVE
TALLAHASSEE, FL 32303-4649
Phone number: 850-212-8279
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Mailing Address
Mr. LARRY DARNELL SMITH Physical Therapist
914 TAMARACK AVE
TALLAHASSEE, FL 32303-4649
Phone number: 850-212-8279
Copy
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