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1194214585
MARY JANE CARLYN DIESTA GARGOLES
SUNRISE, FL
NPI
1194214585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
MARY JANE CARLYN DIESTA GARGOLES PT
1580 SAWGRASS CORPORATE PKWY STE 200
SUNRISE, FL 33323-2869
Phone number: 954-371-7465
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Mailing Address
MARY JANE CARLYN DIESTA GARGOLES PT
1580 SAWGRASS CORPORATE PKWY STE 200
SUNRISE, FL 33323-2869
Phone number:
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