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1861683757
KEISHA DIONNE ENGRAM
JACKSONVILLE, FL
NPI
1861683757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 20938)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Ms. KEISHA DIONNE ENGRAM PTA
1422 SAN MARCO BLVD
JACKSONVILLE, FL 32207-8536
Phone number: 904-398-4133
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Mailing Address
Ms. KEISHA DIONNE ENGRAM PTA
7601 REED ST
JACKSONVILLE, FL 32208-3720
Phone number: 904-768-8855
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