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1487926150
ANGELA KRISTINE HACKEROTT
LEESBURG, FL
NPI
1487926150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA23123)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
-- ANGELA KRISTINE HACKEROTT PTA
600 NORTH BLVD W SUITE D
LEESBURG, FL 34748-5063
Phone number: 352-728-6636
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Mailing Address
-- ANGELA KRISTINE HACKEROTT PTA
600 NORTH BLVD W SUITE D
LEESBURG, FL 34748-5063
Phone number: 352-728-6636
Copy
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