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1407681190
TATIANA VASILYEVA
JACKSONVILLE, FL
NPI
1407681190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT32378)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
TATIANA VASILYEVA
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 859-519-8309
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Mailing Address
TATIANA VASILYEVA
425 10TH ST NE APT 8
ATLANTA, GA 30309-4241
Phone number: 859-519-8309
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