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1942965900
SHELLEY VASQUEZ
CLERMONT, FL
NPI
1942965900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31520)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
SHELLEY VASQUEZ PTA
12313 FOUNTAIN COIN WAY
CLERMONT, FL 34711-8085
Phone number: 224-623-7481
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Mailing Address
SHELLEY VASQUEZ PTA
12313 FOUNTAIN COIN WAY
CLERMONT, FL 34711-8085
Phone number:
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