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1124301080
JAMES LEE VANTASSEL
MCKEESPORT, PA
NPI
1124301080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE1001394)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
JAMES LEE VANTASSEL
1500 FIFTH AVE
MCKEESPORT, PA 15132-2422
Phone number: 412-664-2221
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Mailing Address
JAMES LEE VANTASSEL
1500 FIFTH AVE
MCKEESPORT, PA 15132-2422
Phone number:
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