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1578748059
MARIVIC MALLARI CHANG
JACKSONVILLE, FL
NPI
1578748059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 23745)
Enumeration Date
2008-01-03
Last Update Date
2022-07-21
Business Address
Dr. MARIVIC MALLARI CHANG PT,DPT,CKTP
9527 REGENCY SQUARE BLVD STE 105
JACKSONVILLE, FL 32225-8807
Phone number: 904-647-4263
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Mailing Address
Dr. MARIVIC MALLARI CHANG PT,DPT,CKTP
1128 CREEKS RIDGE RD
JACKSONVILLE, FL 32225-7335
Phone number: 904-755-9071
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