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1659003440
DENISE MARION EDWARDS
JACKSONVILLE, FL
NPI
1659003440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 30575)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
Ms. DENISE MARION EDWARDS PTA
11401 OLD SAINT AUGUSTINE RD # 407
JACKSONVILLE, FL 32258-1402
Phone number: 631-807-5655
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Mailing Address
Ms. DENISE MARION EDWARDS PTA
407 SERVIA DR # 407
ST JOHNS, FL 32259-2236
Phone number: 631-807-5655
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