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1124002001
VANESSA HEARNSHAW PORTMAN
JACKSONVILLE, FL
NPI
1124002001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT4550)
Enumeration Date
2005-12-02
Last Update Date
2012-10-23
Business Address
Mrs. VANESSA HEARNSHAW PORTMAN PT
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
Mrs. VANESSA HEARNSHAW PORTMAN PT
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Copy
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