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1134496318
DOUGLAS VANACKER
TAMPA, FL
NPI
1134496318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL pt7651)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
-- DOUGLAS VANACKER pt
17419 BRIDGE HILL CT
TAMPA, FL 33647-3599
Phone number: 813-907-7879
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Mailing Address
-- DOUGLAS VANACKER pt
13601 BRUCE B DOWNS BLVD SUITE 110
TAMPA, FL 33613-4657
Phone number: 813-907-7879
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