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1710075163
DANIEL JACOB BOSCO
FORT MYERS, FL
NPI
1710075163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 18531)
Enumeration Date
2006-10-11
Last Update Date
2016-05-24
Business Address
-- DANIEL JACOB BOSCO PT
13670 METROPOLIS AVE SUITE 103
FORT MYERS, FL 33912-4346
Phone number: 239-561-0700
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Mailing Address
-- DANIEL JACOB BOSCO PT
11 EAGLE ROCK AVE STE 201
EAST HANOVER, NJ 07936-3167
Phone number: 239-574-8922
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