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1922092626
BRIAN MICHAEL WAITE
JACKSONVILLE, FL
NPI
1922092626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT22014)
Enumeration Date
2005-09-08
Last Update Date
2007-07-08
Business Address
-- BRIAN MICHAEL WAITE MSPT
8399 BAYBERRY RD
JACKSONVILLE, FL 32256
Phone number: 904-260-4977
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Mailing Address
-- BRIAN MICHAEL WAITE MSPT
8774 SPRING HARVEST LN E
JACKSONVILLE, FL 32244-7452
Phone number:
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