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1366712952
HOLLY J CLUCK
BRANDON, FL
NPI
1366712952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL pta2007)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
Mrs. HOLLY J CLUCK
1465 OAKFIELD DR
BRANDON, FL 33511-4854
Phone number: 813-655-0404
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Mailing Address
Mrs. HOLLY J CLUCK
740 ISLETON DR
BRANDON, FL 33511-7964
Phone number: 813-571-3352
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