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1699263616
MOLLY FAGEN
GAINESVILLE, FL
NPI
1699263616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT31978)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
MOLLY FAGEN PT
4842 SW ARCHER RD
GAINESVILLE, FL 32608-3813
Phone number: 352-376-8821
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Mailing Address
MOLLY FAGEN PT
16686 NW 194TH TER
HIGH SPRINGS, FL 32643-8182
Phone number: 352-382-7214
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