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1902835291
SANDRA DAVILA
PORT ST LUCIE, FL
NPI
1902835291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT20263)
Enumeration Date
2006-07-01
Last Update Date
2014-09-28
Business Address
-- SANDRA DAVILA
121 NE TUNISON AVE
PORT ST LUCIE, FL 34983-1732
Phone number: 772-834-5167
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Mailing Address
-- SANDRA DAVILA
121 NE TUNISON AVE
PORT ST LUCIE, FL 34983-1732
Phone number: 772-834-5167
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