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1851146369
WESLEY WHITE
MELBOURNE, FL
NPI
1851146369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28016)
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
WESLEY WHITE PTA
6431 LAKE ANDREW DR UNIT 103
MELBOURNE, FL 32940-7250
Phone number: 321-473-6773
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Mailing Address
WESLEY WHITE PTA
6431 LAKE ANDREW DR UNIT 103
MELBOURNE, FL 32940-7250
Phone number: 321-473-6773
Copy
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