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1760916498
BRIGHAM NATHANIEL GRIEVE
JACKSONVILLE, FL
NPI
1760916498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25570)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- BRIGHAM NATHANIEL GRIEVE
9355 SAN JOSE BLVD
JACKSONVILLE, FL 32257-5503
Phone number: 904-739-6680
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Mailing Address
-- BRIGHAM NATHANIEL GRIEVE
2139 SWEET BRIAR LN
JACKSONVILLE, FL 32217-2376
Phone number: 904-520-1896
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