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1124574934
SHELBY LYNN REAGLE
JAMESTOWN, NY
NPI
1124574934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010537-1)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- SHELBY LYNN REAGLE PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
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Mailing Address
-- SHELBY LYNN REAGLE PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
Copy
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