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1942480827
GREGORY CHADWICK IDELL
POMPANO BEACH, FL
NPI
1942480827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT20008)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
Mr. GREGORY CHADWICK IDELL P.T.
1759 NE 40TH PL APT 602
POMPANO BEACH, FL 33064-9202
Phone number: 561-271-2142
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Mailing Address
Mr. GREGORY CHADWICK IDELL P.T.
1759 NE 40TH PL APT 602
POMPANO BEACH, FL 33064-9202
Phone number: 561-271-2142
Copy
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