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1831493154
MAIKO ISHIZAWA
ST PETERSBURG, FL
NPI
1831493154
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Other Name
MAIKO DECLET-ISHIZAWA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20078)
Enumeration Date
2010-12-29
Last Update Date
2010-12-29
Business Address
Ms. MAIKO ISHIZAWA PTA
5347 ALCOLA WAY S
ST PETERSBURG, FL 33712-4929
Phone number: 727-637-6293
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Mailing Address
Ms. MAIKO ISHIZAWA PTA
5347 ALCOLA WAY S
ST PETERSBURG, FL 33712-4929
Phone number: 727-637-6293
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