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1154515666
EARLEE ALFONSO SALAS
BRANDON, FL
NPI
1154515666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT3692)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
Mr. EARLEE ALFONSO SALAS MS, PT
615 VONDERBURG DR
BRANDON, FL 33511-5972
Phone number: 813-654-1856
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Mailing Address
Mr. EARLEE ALFONSO SALAS MS, PT
PO BOX 1516
DADE CITY, FL 33526-1516
Phone number: 813-841-2599
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