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1972914836
JOACHIM BANNES
JACKSONVILLE, FL
NPI
1972914836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA24173)
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
-- JOACHIM BANNES PTA
4010 SOUTHPOINT DRIVE EAST
JACKSONVILLE, FL 32216
Phone number: 904-613-7688
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Mailing Address
-- JOACHIM BANNES PTA
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number:
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