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1265206940
BETHANY CLUBB
SAINT AUGUSTINE, FL
NPI
1265206940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT41084)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
BETHANY CLUBB PT, DPT
104 ASHOURIAN AVE STE 105
SAINT AUGUSTINE, FL 32092-5106
Phone number: 904-230-7761
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Mailing Address
BETHANY CLUBB PT, DPT
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4312
Phone number: 904-345-7251
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