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1740988062
BRIAN DOUGLAS
TAMPA, FL
NPI
1740988062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA26280)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
BRIAN DOUGLAS
1503 E 5TH AVE
TAMPA, FL 33605-5002
Phone number: 813-731-2181
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Mailing Address
BRIAN DOUGLAS
1503 E 5TH AVE
TAMPA, FL 33605-5002
Phone number: 813-731-2181
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