MARK JEFFERY LISEMBEE

BOWLING GREEN, KY
NPI1225326895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02788)
Enumeration Date2011-07-18
Last Update Date2012-05-22
Business Address
MR. MARK JEFFERY LISEMBEE PTA
1561 NEWTON AVE
BOWLING GREEN, KY 42104-3238
Phone number: 270-842-1611
Mailing Address
MR. MARK JEFFERY LISEMBEE PTA
1561 NEWTON AVE
BOWLING GREEN, KY 42104-3238
Phone number: 270-842-1611
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