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1437459419
DOMENIC MAINELLI
JACKSONVILLE, FL
NPI
1437459419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT25921)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
-- DOMENIC MAINELLI
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4252
Phone number: 904-858-7600
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Mailing Address
-- DOMENIC MAINELLI
211 ARPIEKA AVE APARTMENT 5
SAINT AUGUSTINE, FL 32080-2701
Phone number:
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