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1376567792
AGATA S MACDONALD
FORT WALTON BEACH, FL
NPI
1376567792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT 9614)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- AGATA S MACDONALD OTR/L
4 JACKSON ST NE
FORT WALTON BEACH, FL 32548-4925
Phone number: 850-862-7227
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Mailing Address
-- AGATA S MACDONALD OTR/L
1473 GULF WINDS DR
GULF BREEZE, FL 32563-1929
Phone number: 850-932-2673
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