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1588035752
LOUIS JOHN EMEN
MELBOURNE, FL
NPI
1588035752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA19230)
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
Mr. LOUIS JOHN EMEN PTA
1747 EVANS RD
MELBOURNE, FL 32904-3869
Phone number: 321-768-6119
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Mailing Address
Mr. LOUIS JOHN EMEN PTA
2143 STEWART RD
MELBOURNE, FL 32935-4230
Phone number: 321-514-0183
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