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1891472346
ANNABELLE LEE GANNAWAY
JACKSONVILLE, FL
NPI
1891472346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
ANNABELLE LEE GANNAWAY PTA
9355 SAN JOSE BLVD
JACKSONVILLE, FL 32257-5503
Phone number: 904-739-0877
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Mailing Address
ANNABELLE LEE GANNAWAY PTA
424 WALNUT CT
JACKSONVILLE, FL 32206-4643
Phone number: 352-459-6733
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