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1225571524
WILSON G GONZALEZ
KISSIMMEE, FL
NPI
1225571524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27259)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
WILSON G GONZALEZ
71 ALAMEDA DR
KISSIMMEE, FL 34743-9201
Phone number: 407-973-4396
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Mailing Address
WILSON G GONZALEZ
71 ALAMEDA DR
KISSIMMEE, FL 34743-9201
Phone number: 407-973-4396
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