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DAVID LAWSON DEPPERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7375
Mailing address
425 MISTWOOD CT, ORANGE PARK, FL 32065-2295
(904) 291-2639

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005198L
PA

Other

Enumeration date
11/17/2006
Last updated
07/08/2007
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