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1538389986
DANA LEE WALL
JACKSONVILLE, FL
NPI
1538389986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 11063)
Enumeration Date
2007-04-26
Last Update Date
2015-06-17
Business Address
Mrs. DANA LEE WALL OTR
10680 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32257-1000
Phone number: 904-398-4133
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Mailing Address
Mrs. DANA LEE WALL OTR
6447 SILVER GLEN DR
JACKSONVILLE, FL 32258-5126
Phone number: 904-610-3134
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