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1205018710
PHILLIP RAY WAGGONER
CORAL GABLES, FL
NPI
1205018710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 7485)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- PHILLIP RAY WAGGONER P.T.
5915 PONCE DE LEON BLVD PLUMER BLDG.,5TH FLOOR
CORAL GABLES, FL 33146-2435
Phone number: 305-284-4535
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Mailing Address
-- PHILLIP RAY WAGGONER P.T.
5915 PONCE DE LEON BLVD PLUMER BLDG.,5TH FLOOR
CORAL GABLES, FL 33146-2435
Phone number: 305-284-4535
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