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1225011695
SUSAN MARIE TANIS
APO, AE
NPI
1225011695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CO 3963)
Enumeration Date
2005-11-21
Last Update Date
2008-04-20
Business Address
Ms. SUSAN MARIE TANIS PT
PSC 41 BOX 2391
APO, AE 09464
Phone number: 44163-852-8926
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Mailing Address
Ms. SUSAN MARIE TANIS PT
PSC 41 BOX 2391
APO, AE 09464
Phone number: 44163-852-8926
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