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1912475005
KATELYN JAE BOONE
DAVIE, FL
NPI
1912475005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 28959)
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
KATELYN JAE BOONE
4217 SW 61ST AVE
DAVIE, FL 33314-3614
Phone number: 972-977-8489
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Mailing Address
KATELYN JAE BOONE
4217 SW 61ST AVE
DAVIE, FL 33314-3614
Phone number: 972-977-8489
Copy
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