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Individual

DR. CAROLYN GRACE BOOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
298 SW PROSPERITY PL, LAKE CITY, FL 32024-0684
(386) 269-3900
Mailing address
493 SW DEXTER CIR APT 207, LAKE CITY, FL 32025-5673
(352) 200-0382

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25472
FL

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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