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1215210901
JAELLE PAYOUTE
HOLLYWOOD, FL
NPI
1215210901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA22319)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- JAELLE PAYOUTE
1 OAKWOOD BLVD STE 130
HOLLYWOOD, FL 33020-1937
Phone number: 954-925-3844
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Mailing Address
-- JAELLE PAYOUTE
1 OAKWOOD BLVD STE 130
HOLLYWOOD, FL 33020-1937
Phone number: 954-925-3844
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