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1104443738
KRYSTAL LAFFERTY
VINCENNES, IN
NPI
1104443738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06004091A)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
Mrs. KRYSTAL LAFFERTY PTA
6047 S MAIN STREET RD
VINCENNES, IN 47591-9178
Phone number: 812-890-9135
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Mailing Address
Mrs. KRYSTAL LAFFERTY PTA
6047 S MAIN STREET RD
VINCENNES, IN 47591-9178
Phone number:
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