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1194100099
WILLIAM ISAAC MENDOZA VINYARD
TALLAHASSEE, FL
NPI
1194100099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25668)
Enumeration Date
2015-07-21
Last Update Date
2015-07-21
Business Address
Mr. WILLIAM ISAAC MENDOZA VINYARD PTA
3550 ESPLANADE WAY APT 8313
TALLAHASSEE, FL 32311-3756
Phone number: 229-886-1801
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Mailing Address
Mr. WILLIAM ISAAC MENDOZA VINYARD PTA
3550 ESPLANADE WAY APT 8313
TALLAHASSEE, FL 32311-3756
Phone number:
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