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1770319519
MARCUS VINICIUS JACKOVITZ
ENFIELD, CT
NPI
1770319519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 14190)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
Dr. MARCUS VINICIUS JACKOVITZ DPT
93 WYNWOOD DR
ENFIELD, CT 06082-6149
Phone number: 561-303-7736
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Mailing Address
Dr. MARCUS VINICIUS JACKOVITZ DPT
9703 SANDPIPER LN
WEST PALM BEACH, FL 33411-6321
Phone number: 561-303-7736
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