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1679825350
BRENDA LEE KOONCE
MIAMI, FL
NPI
1679825350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTAT23647)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- BRENDA LEE KOONCE PTA
14291 SW 120TH ST STE 103
MIAMI, FL 33186-7287
Phone number: 305-385-0168
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Mailing Address
-- BRENDA LEE KOONCE PTA
14291 SW 120TH ST STE 103
MIAMI, FL 33186-7287
Phone number: 305-385-0168
Copy
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