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1306346382
JACQUELINE MARTINEZ
PONTE VEDRA, FL
NPI
1306346382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PTT33391)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
JACQUELINE MARTINEZ
100 EXECUTIVE WAY
PONTE VEDRA, FL 32082-2715
Phone number: 904-543-9011
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Mailing Address
JACQUELINE MARTINEZ
613 SW 103RD AVE
MIAMI, FL 33174-1732
Phone number:
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