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1134710452
HERBERT ALLEN PALLAS
FORT MYERS, FL
NPI
1134710452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA18009)
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
HERBERT ALLEN PALLAS
15071 SHELL POINT BLVD
FORT MYERS, FL 33908-1639
Phone number: 239-415-5432
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Mailing Address
HERBERT ALLEN PALLAS
3718 CROFTON CT
FORT MYERS, FL 33916-7994
Phone number: 401-573-1392
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