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1427684737
HOLLY FUNDENBURG
GAINESVILLE, FL
NPI
1427684737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA30079)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
HOLLY FUNDENBURG PTA
4820 NEWBERRY RD
GAINESVILLE, FL 32607-2249
Phone number: 352-373-2116
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Mailing Address
HOLLY FUNDENBURG PTA
14305 NW 186TH AVE
ALACHUA, FL 32615-4204
Phone number: 351-871-4857
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