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1699908061
CLAY THOMAS BALES
JACKSONVILLE, FL
NPI
1699908061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT24950)
Enumeration Date
2009-09-01
Last Update Date
2009-09-01
Business Address
Mr. CLAY THOMAS BALES DPT
6248 103RD ST
JACKSONVILLE, FL 32210-7733
Phone number: 904-573-0046
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Mailing Address
Mr. CLAY THOMAS BALES DPT
130 OLD TOWN PKWY UNIT 2103
ST AUGUSTINE, FL 32084-5828
Phone number: 904-392-5820
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