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1205351293
CLARISSA M. WYNN
JACKSONVILLE, FL
NPI
1205351293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27630)
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
CLARISSA M. WYNN PTA
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 32204-4712
Phone number: 904-634-0640
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Mailing Address
CLARISSA M. WYNN PTA
6500 BOWDEN RD STE 103
JACKSONVILLE, FL 32216-8066
Phone number: 904-634-0640
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