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1144531013
JULIA ELAINE SISSON
MARTINSVILLE, IN
NPI
1144531013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002759A)
Enumeration Date
2010-06-25
Last Update Date
2010-06-25
Business Address
MR. JULIA ELAINE SISSON PTA
60 E SUMNER AVE
MARTINSVILLE, IN 46151-2139
Phone number: 317-840-4914
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Mailing Address
MR. JULIA ELAINE SISSON PTA
60 E SUMNER AVE
MARTINSVILLE, IN 46151-2139
Phone number: 317-840-4914
Copy
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