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1124244967
SAMUEL K HUTTO
DOTHAN, AL
NPI
1124244967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA4594)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- SAMUEL K HUTTO PTA
1480 ROSS CLARK CIR
DOTHAN, AL 36301-4752
Phone number: 334-793-2663
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Mailing Address
-- SAMUEL K HUTTO PTA
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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