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1619631207
MIDES MAE GUADALUPE
ORANGE PARK, FL
NPI
1619631207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21313)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
MIDES MAE GUADALUPE PT
1700 WELLS RD STE 22
ORANGE PARK, FL 32073-2374
Phone number: 904-209-4714
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Mailing Address
MIDES MAE GUADALUPE PT
1700 WELLS RD STE 22
ORANGE PARK, FL 32073-2374
Phone number: 904-209-4714
Copy
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