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1811319767
JAY WENDELL REGENCIA SIA
ORMOND BEACH, FL
NPI
1811319767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT25069)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
Mr. JAY WENDELL REGENCIA SIA
875 WILMETTE AVE APT 406
ORMOND BEACH, FL 32174-9515
Phone number: 863-414-8822
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Mailing Address
Mr. JAY WENDELL REGENCIA SIA
875 WIMETTE AVE. APT 406
ORMOND BEACH, FL 32174
Phone number: 863-414-8822
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