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1700253770
OLEG BOHOMOL
ST AUGUSTINE, FL
NPI
1700253770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT24983)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- OLEG BOHOMOL PT
410 CAMELIA TRL
ST AUGUSTINE, FL 32086-5513
Phone number: 904-392-0057
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Mailing Address
-- OLEG BOHOMOL PT
410 CAMELIA TRL
ST AUGUSTINE, FL 32086-5513
Phone number: 904-392-0057
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