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1942589825
MARISSA LYNN SHEPHERD
LAKE MARY, FL
NPI
1942589825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 22209)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
Miss MARISSA LYNN SHEPHERD PTA
1337 S INTERNATIONAL PKWY
LAKE MARY, FL 32746-1402
Phone number: 407-833-0802
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Mailing Address
Miss MARISSA LYNN SHEPHERD PTA
1830 TURTLE HILL RD
ENTERPRISE, FL 32725-2452
Phone number: 407-314-3106
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