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1508487117
LESLIE DEREPENTIGNY
ST PETERSBURG, FL
NPI
1508487117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 29223)
Enumeration Date
2020-05-05
Last Update Date
2020-05-05
Business Address
LESLIE DEREPENTIGNY
3636 10TH AVE N
ST PETERSBURG, FL 33713-6528
Phone number: 727-323-3611
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Mailing Address
LESLIE DEREPENTIGNY
10901 BRIGHTON BAY BLVD NE
ST PETERSBURG, FL 33716-3446
Phone number:
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