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1548944416
CLISTON LAWRENCE
OCALA, FL
NPI
1548944416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA18781)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
CLISTON LAWRENCE PTA
1015 SE 17TH ST STE 300
OCALA, FL 34471-3943
Phone number: 352-629-4509
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Mailing Address
CLISTON LAWRENCE PTA
PO BOX 805
DUNNELLON, FL 34430-0805
Phone number:
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