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1851688238
MICHAEL MCCONNELL
PORT ORANGE, FL
NPI
1851688238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004145A)
Enumeration Date
2011-07-06
Last Update Date
2011-07-06
Business Address
-- MICHAEL MCCONNELL
5535 S WILLIAMSON BLVD 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- MICHAEL MCCONNELL
54530 COUNTY ROAD 1
ELKHART, IN 46514-8961
Phone number:
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