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1578061719
ILISE MINUS
PORT ORANGE, FL
NPI
1578061719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 022158)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
ILISE MINUS
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8321
Phone number: 888-265-2680
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Mailing Address
ILISE MINUS
1888 HOLLYWOOD RD NW APT 7304
ATLANTA, GA 30318-3412
Phone number:
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