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1710570817
KASSANDRA MARCELLA JEROME
KISSIMMEE, FL
NPI
1710570817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 30494)
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
KASSANDRA MARCELLA JEROME PTA
830 29TH ST, ORLANDO, FL 32805
KISSIMMEE, FL 32805
Phone number: 407-843-3230
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Mailing Address
KASSANDRA MARCELLA JEROME PTA
2519 CHAPALA DR
KISSIMMEE, FL 34746-3447
Phone number: 321-284-7591
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