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1164792073
CHRISTOPHER MCCORMACK
JUPITER, FL
NPI
1164792073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 22813)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- CHRISTOPHER MCCORMACK PTA
210 JUPITER LAKES BLVD SUITE 5101
JUPITER, FL 33458-7191
Phone number: 561-741-1876
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Mailing Address
-- CHRISTOPHER MCCORMACK PTA
210 JUPITER LAKES BLVD SUITE 5101
JUPITER, FL 33458-7191
Phone number: 561-741-1876
Copy
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