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1558194936
JACK BOSMA
SAINT AUGUSTINE, FL
NPI
1558194936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 41649)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
JACK BOSMA PT, DPT, CSCS
165 HAMPTON POINT DR
SAINT AUGUSTINE, FL 32092-3061
Phone number: 904-292-0195
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Mailing Address
JACK BOSMA PT, DPT, CSCS
1609 THREE OAKS LN
JACKSONVILLE, FL 32223-2525
Phone number:
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