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1952541104
CHARLES THISSEN
COCOA BEACH, FL
NPI
1952541104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: FL ma 44079)
Enumeration Date
2009-03-01
Last Update Date
2009-03-01
Business Address
Mr. CHARLES THISSEN
236 N ATLANTIC AVE
COCOA BEACH, FL 32931-2963
Phone number: 321-482-3970
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Mailing Address
Mr. CHARLES THISSEN
236 N ATLANTIC AVE
COCOA BEACH, FL 32931-2963
Phone number:
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