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1750027280
ANDREW GRAYSON GANUNG
JACKSONVILLE, FL
NPI
1750027280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT38462)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
Dr. ANDREW GRAYSON GANUNG PT, DPT
1045 RIVERSIDE AVE STE 190
JACKSONVILLE, FL 32204-4189
Phone number: 904-647-4284
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Mailing Address
Dr. ANDREW GRAYSON GANUNG PT, DPT
1045 RIVERSIDE AVE STE 190
JACKSONVILLE, FL 32204-4189
Phone number: 904-647-4284
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