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1700299211
MACKLY LOUIS
MIRAMAR, FL
NPI
1700299211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA24512)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
-- MACKLY LOUIS PTA
3190 S STATE ROAD 7 STE 12B
MIRAMAR, FL 33023-5205
Phone number: 954-961-0511
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Mailing Address
-- MACKLY LOUIS PTA
3190 S STATE ROAD 7 STE 12B
MIRAMAR, FL 33023-5205
Phone number: 954-961-0511
Copy
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