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1851550065
JOHN SAMUELRAJ
JACKSONVILLE, FL
NPI
1851550065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT12715)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
-- JOHN SAMUELRAJ OTR
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-202-2000
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Mailing Address
-- JOHN SAMUELRAJ OTR
6297 PENDRAGON PL
JACKSONVILLE, FL 32258-9417
Phone number:
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