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1346360005
AMANDA L. HAGAN
ST PETERSBURG, FL
NPI
1346360005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: FL 24552)
Enumeration Date
2007-03-29
Last Update Date
2010-05-20
Business Address
Ms. AMANDA L. HAGAN PT
3011 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8628
Phone number: 859-640-5039
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Mailing Address
Ms. AMANDA L. HAGAN PT
3011 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8628
Phone number: 859-640-5039
Copy
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