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1376748327
AMANDA S DOUGLASS
JACKSONVILLE, FL
NPI
1376748327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT22464)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA S DOUGLASS DPT
4201 BELFORT RD
JACKSONVILLE, FL 32216-1431
Phone number: 904-296-5811
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Mailing Address
Mrs. AMANDA S DOUGLASS DPT
210 16TH ST UNIT C
SAINT AUGUSTINE, FL 32080-6595
Phone number: 904-471-5117
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