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1902825672
KARL ERIC FORSBERG GILLIAM
FORT MYERS, FL
NPI
1902825672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 22144)
Enumeration Date
2006-07-19
Last Update Date
2008-04-10
Business Address
Mr. KARL ERIC FORSBERG GILLIAM MSPT,CSCS,CI
12670 CREEKSIDE LN SUITE 202
FORT MYERS, FL 33919-3359
Phone number: 239-267-2263
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Mailing Address
Mr. KARL ERIC FORSBERG GILLIAM MSPT,CSCS,CI
807 RUE LABEAU CIR
FORT MYERS, FL 33913-7513
Phone number: 239-369-0777
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