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1245953264
IAN RANDANT
DANVILLE, WV
NPI
1245953264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV Pta1526)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
IAN RANDANT
298 TRICORN RD
DANVILLE, WV 25053-7148
Phone number: 303-043-6913
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Mailing Address
IAN RANDANT
PO BOX 102
SYLVESTER, WV 25193-0102
Phone number:
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