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1750472700
RAYMOND VICKERMAN
ORANGE PARK, FL
NPI
1750472700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT2283)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
RAYMOND VICKERMAN PT
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
RAYMOND VICKERMAN PT
3 FOREST ST
GREEN COVE SPRINGS, FL 32043-3077
Phone number: 904-502-2636
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