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1114471083
KIM KELBY SIA TAN
ORLANDO, FL
NPI
1114471083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1253233)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
Mr. KIM KELBY SIA TAN RPT
3452 LAKE LYNDA DR STE 2001
ORLANDO, FL 32817-1430
Phone number: 800-774-7785
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Mailing Address
Mr. KIM KELBY SIA TAN RPT
3452 LAKE LYNDA DR STE 2001
ORLANDO, FL 32817-1430
Phone number: 800-774-7785
Copy
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