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1477008316
DEANNA CONCHITA DELEON
VALRICO, FL
NPI
1477008316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 26970)
Enumeration Date
2016-08-21
Last Update Date
2016-08-23
Business Address
-- DEANNA CONCHITA DELEON P.T.A.
3248 LITHIA PINECREST RD STE 102
VALRICO, FL 33596-5682
Phone number: 813-662-1366
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Mailing Address
-- DEANNA CONCHITA DELEON P.T.A.
501 12TH ST
WIMAUMA, FL 33598-3409
Phone number: 813-215-6234
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