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1760578926
JEFFREY THOMAS BLUM
KISSIMMEE, FL
NPI
1760578926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 20627)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY THOMAS BLUM PT
700 VICTORY WAY
KISSIMMEE, FL 34747-4100
Phone number: 407-939-2316
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Mailing Address
Mr. JEFFREY THOMAS BLUM PT
15813 AUTUMN GLEN AVE
CLERMONT, FL 34714-6111
Phone number: 407-361-6452
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