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1154916641
GEORGE GAVERN
ORLANDO, FL
NPI
1154916641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA24532)
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
GEORGE GAVERN PTA
4226 STONEWALL DR
ORLANDO, FL 32812-7938
Phone number: 407-923-7083
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Mailing Address
GEORGE GAVERN PTA
4226 STONEWALL DR
ORLANDO, FL 32812-7938
Phone number: 407-923-7083
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