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1104221001
ALEXANDER GUICE
PORT ORANGE, FL
NPI
1104221001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2088160)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- ALEXANDER GUICE
5535 S WILLIAMSON BLVD SUITE #774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- ALEXANDER GUICE
5535 S WILLIAMSON BLVD SUITE #774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Copy
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