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1023148327
BRIAN LEE STOLL
JASPER, IN
NPI
1023148327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001403A)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
BRIAN LEE STOLL PTA
1900 SAINT CHARLES ST
JASPER, IN 47546-9145
Phone number: 812-634-1211
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Mailing Address
BRIAN LEE STOLL PTA
1900 SAINT CHARLES ST
JASPER, IN 47546-9145
Phone number: 812-634-1211
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