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1194797969
JACK LEE RYALS
LAKELAND, FL
NPI
1194797969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT18427)
Enumeration Date
2006-02-06
Last Update Date
2023-11-27
Business Address
JACK LEE RYALS PT
1430 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Phone number: 863-680-7700
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Mailing Address
JACK LEE RYALS PT
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
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