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1972874592
JOSEPH K MAMPALLIL
BRANDON, FL
NPI
1972874592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21124)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
Mr. JOSEPH K MAMPALLIL RPT
1465 OAKFIELD DR
BRANDON, FL 33511-4854
Phone number: 813-655-0404
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Mailing Address
Mr. JOSEPH K MAMPALLIL RPT
1422 LAKE SHORE RANCH DR
SEFFNER, FL 33584-5562
Phone number: 813-684-9618
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