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1467611905
CARL JASON ANTONIL VILLANUEVA
JACKSONVILLE, NC
NPI
1467611905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 8040)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
Mr. CARL JASON ANTONIL VILLANUEVA PT
1839 ONSLOW DR
JACKSONVILLE, NC 28540-5906
Phone number: 910-455-3610
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Mailing Address
Mr. CARL JASON ANTONIL VILLANUEVA PT
2015 HUNTERS RIDGE DR
MIDWAY PARK, NC 28544-1635
Phone number: 910-577-1210
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