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1538754866
DESIREE N DAVIS
GAINESVILLE, FL
NPI
1538754866
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Former Name
DESIREE NICOLE SALAZAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA29863)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
DESIREE N DAVIS PTA
6700 NW 10TH PL
GAINESVILLE, FL 32605-4213
Phone number: 352-331-3111
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Mailing Address
DESIREE N DAVIS PTA
1335 SW INDIAN GLN
LAKE CITY, FL 32025-0412
Phone number: 386-590-7749
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