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1386914208
VIKTORIYA LA ROSA
PALM COAST, FL
NPI
1386914208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA21299)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- VIKTORIYA LA ROSA
3001 PALM COAST PKWY SE
PALM COAST, FL 32137-8209
Phone number: 386-446-6060
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Mailing Address
-- VIKTORIYA LA ROSA
20 KAFFIR LILY PL
PALM COAST, FL 32164-5628
Phone number:
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