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1063029205
DANIEL NISBET
PADUCAH, KY
NPI
1063029205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 008070)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
DANIEL NISBET
200 CLINT HILL BLVD
PADUCAH, KY 42001-6768
Phone number: 270-442-9461
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Mailing Address
DANIEL NISBET
510 LINCOLN DR
HERRIN, IL 62948-6334
Phone number: 618-997-6800
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