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1649503749
JENNIFER SUSAN MCILVAINE
TAMPA, FL
NPI
1649503749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 24794)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
-- JENNIFER SUSAN MCILVAINE DPT
601 CHANNELSIDE WALK WAY #1143
TAMPA, FL 33602-6748
Phone number: 352-219-9644
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Mailing Address
-- JENNIFER SUSAN MCILVAINE DPT
601 CHANNELSIDE WALK WAY #1143
TAMPA, FL 33602-6748
Phone number: 352-219-9644
Copy
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