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1003296971
LABREESKA PONDER
GADSDEN, AL
NPI
1003296971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA1659)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- LABREESKA PONDER LPTA
1007 GOODYEAR AVE
GADSDEN, AL 35903-1195
Phone number: 256-413-6060
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Mailing Address
-- LABREESKA PONDER LPTA
1007 GOODYEAR AVE
GADSDEN, AL 35903
Phone number: 256-413-6060
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