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1316071012
PAUL WILLIAM SHIMP
DEBARY, FL
NPI
1316071012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 17408)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mr. PAUL WILLIAM SHIMP pta
48 CRAYCROFT AVE
DEBARY, FL 32713-4758
Phone number: 407-375-9160
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Mailing Address
Mr. PAUL WILLIAM SHIMP pta
48 CRAYCROFT AVE
DEBARY, FL 32713-4758
Phone number: 407-375-9160
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