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1194084921
JACOB TYLER FOUTS
ST AUGUSTINE, FL
NPI
1194084921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 27292)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
MR. JACOB TYLER FOUTS PT
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086-4202
Phone number: 904-825-0540
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Mailing Address
MR. JACOB TYLER FOUTS PT
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086-4202
Phone number: 904-825-0540
Copy
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