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1659473254
MACMILLAN INNOCENT
HOLLYWOOD, FL
NPI
1659473254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 19229)
Enumeration Date
2006-09-02
Last Update Date
2009-01-04
Business Address
-- MACMILLAN INNOCENT PT
3501 JOHNSON ST
HOLLYWOOD, FL 33021-5421
Phone number: 954-987-2020
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Mailing Address
-- MACMILLAN INNOCENT PT
13691 SW 49TH CT
MIRAMAR, FL 33027-5909
Phone number: 954-559-2977
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