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1174988893
CAROL DESLAURIERS
CAPON BRIDGE, WV
NPI
1174988893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604258)
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
-- CAROL DESLAURIERS PTA
201 COOPERS RUN RD
CAPON BRIDGE, WV 26711-9538
Phone number: 540-532-9124
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Mailing Address
-- CAROL DESLAURIERS PTA
201 COOPERS RUN RD
CAPON BRIDGE, WV 26711-9538
Phone number:
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