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1568852739
JASON M FETTY
ORANGE PARK, FL
NPI
1568852739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT30009)
Enumeration Date
2015-01-27
Last Update Date
2015-03-25
Business Address
-- JASON M FETTY PT
2300 PARK AVE SUITE 203
ORANGE PARK, FL 32073-5571
Phone number: 904-634-0640
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Mailing Address
-- JASON M FETTY PT
6500 BOWDEN RD SUITE 103
JACKSONVILLE, FL 32216-8070
Phone number: 904-634-0640
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