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1679876817
JUDE A WAGNAC
WESTON, FL
NPI
1679876817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 29266)
Enumeration Date
2010-12-09
Last Update Date
2014-08-21
Business Address
Mr. JUDE A WAGNAC DPT, ATC/L
2950 CLEVELAND CLINIC BLVD
WESTON, FL 33331-3609
Phone number: 954-659-5370
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Mailing Address
Mr. JUDE A WAGNAC DPT, ATC/L
7353 NW 174TH TER APT 101
HIALEAH, FL 33015-1135
Phone number: 786-512-7783
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