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1477283349
BRAD ALAN SCAVELLI
JACKSONVILLE, FL
NPI
1477283349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA22561)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
BRAD ALAN SCAVELLI
11293 CHAPELGATE LN
JACKSONVILLE, FL 32223-8758
Phone number: 904-710-2823
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Mailing Address
BRAD ALAN SCAVELLI
11293 CHAPELGATE LN
JACKSONVILLE, FL 32223-8758
Phone number: 904-710-2823
Copy
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