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1770016115
PREMIER NEURO THERAPY LLC
JACKSONVILLE, FL
NPI
1770016115
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Entity Type
Organization
Authorized Contact
ZACHARY MICHAEL
COO/CFO
717-357-2349
Organization Subpart ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
PREMIER NEURO THERAPY LLC
14255 BEACH BLVD
JACKSONVILLE, FL 32250-1576
Phone number: 904-470-0673
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Mailing Address
PREMIER NEURO THERAPY LLC
13700 SUTTON PARK DR N APT. 816
JACKSONVILLE, FL 32224-2273
Phone number: 904-470-0673
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