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1124136577
TATYANA BEYZEROV
INDIANAPOLIS, IN
NPI
1124136577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05005785A)
Enumeration Date
2006-08-27
Last Update Date
2007-07-08
Business Address
TATYANA BEYZEROV PT
1481 W 10TH ST PMRS ROUTING NUMBER 117
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2368
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Mailing Address
TATYANA BEYZEROV PT
3975 W 300 S
NEW PALESTINE, IN 46163-9614
Phone number: 317-861-1849
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