FRITZELLYN CANON DUBOSE

TAVARES, FL
NPI1487978987
Former NameFRITZELLYN CANON QUIAO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT25047)
Enumeration Date2010-03-26
Last Update Date2014-04-01
Business Address
-- FRITZELLYN CANON DUBOSE PT
1599 TROPICAL CT
TAVARES, FL 32778-4340
Phone number: 352-742-9856
Mailing Address
-- FRITZELLYN CANON DUBOSE PT
15630 SE 93RD AVE
SUMMERFIELD, FL 34491-5621
Phone number: 321-362-0232
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