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1487308805
SHANAIA PORTER
LEESBURG, FL
NPI
1487308805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 30636)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
SHANAIA PORTER PTA
701 N 14TH ST STE 1
LEESBURG, FL 34748-4205
Phone number: 352-314-3874
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Mailing Address
SHANAIA PORTER PTA
701 N 14TH ST STE 1
LEESBURG, FL 34748-4205
Phone number: 352-314-3874
Copy
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