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1326519067
PAUL GRAHAM
ORLANDO, FL
NPI
1326519067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28830)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
PAUL GRAHAM
25 W CRYSTAL LAKE ST
ORLANDO, FL 32806-4475
Phone number: 497-254-2558
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Mailing Address
PAUL GRAHAM
4501 VINELAND RD STE 103
ORLANDO, FL 32811-7375
Phone number: 407-792-0031
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