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1053627893
DONNA LIGHTFOOT
VIRGINIA BEACH, VA
NPI
1053627893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602604)
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
-- DONNA LIGHTFOOT
1455 IVYWOOD RD
VIRGINIA BEACH, VA 23453-1543
Phone number: 757-650-6179
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Mailing Address
-- DONNA LIGHTFOOT
PO BOX 6122
VIRGINIA BEACH, VA 23456-0122
Phone number:
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