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1669944302
ERIC VAZQUEZ
KISSIMMEE, FL
NPI
1669944302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 29008)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
ERIC VAZQUEZ PTA
1207 N CENTRAL AVE
KISSIMMEE, FL 34741-4407
Phone number: 407-508-7802
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Mailing Address
ERIC VAZQUEZ PTA
3702 CROSSING CREEK BLVD
SAINT CLOUD, FL 34772-7023
Phone number: 407-340-1927
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