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1972257822
LANCEY BAZILE
ORLANDO, FL
NPI
1972257822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 31567)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
LANCEY BAZILE
215 ANNIE ST
ORLANDO, FL 32806-1207
Phone number: 407-841-4371
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Mailing Address
LANCEY BAZILE
215 ANNIE ST
ORLANDO, FL 32806-1207
Phone number: 407-841-4371
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