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1508157074
ANGUS FERGUSON CAMPBELL
PALM COAST, FL
NPI
1508157074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA001935)
Enumeration Date
2011-05-02
Last Update Date
2011-05-02
Business Address
-- ANGUS FERGUSON CAMPBELL
25 PINE CONE DR
PALM COAST, FL 32164-8423
Phone number: 800-796-0923
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Mailing Address
-- ANGUS FERGUSON CAMPBELL
118 BONITA RD
ST AUGUSTINE, FL 32086-5706
Phone number: 904-315-9548
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