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1861901100
CHRISTINA SUZANNE GREENE
JACKSONVILLE, FL
NPI
1861901100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA26116)
Enumeration Date
2017-09-28
Last Update Date
2022-07-21
Business Address
CHRISTINA SUZANNE GREENE PTA
12633 BLUE EAGLE WAY
JACKSONVILLE, FL 32225-0825
Phone number: 808-294-5858
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Mailing Address
CHRISTINA SUZANNE GREENE PTA
12633 BLUE EAGLE WAY
JACKSONVILLE, FL 32225-0825
Phone number: 808-294-5858
Copy
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