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1093353500
CODY IRETON
MT STERLING, KY
NPI
1093353500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A04064)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
Mr. CODY IRETON
209 EVANS AVE
MT STERLING, KY 40353-9700
Phone number: 859-498-0011
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Mailing Address
Mr. CODY IRETON
209 EVANS AVE
MT STERLING, KY 40353-9700
Phone number: 859-498-0011
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