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1154442952
MARK A KEISEL
SOUTHERN PINES, NC
NPI
1154442952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 3793)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- MARK A KEISEL PTA
100 EAST RHODE ISLAND AVE. EXT.
SOUTHERN PINES, NC 28387
Phone number: 910-692-0371
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Mailing Address
-- MARK A KEISEL PTA
903 BUCKLER AVE.
ABERDEEN, NC 28315
Phone number: 757-268-1817
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