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1053890103
JANUARY LEE
CARMEL, IN
NPI
1053890103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005758A)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
JANUARY LEE PTA
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 317-573-1037
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Mailing Address
JANUARY LEE PTA
7018 CEDAR KNOLL DR
SELLERSBURG, IN 47172-9478
Phone number:
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