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1275007528
ALISHA MIYAZAWA
CASPER, WY
NPI
1275007528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY 1541)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
ALISHA MIYAZAWA DPT
1930 E 12TH ST STE 106
CASPER, WY 82601-4076
Phone number: 307-554-7861
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Mailing Address
ALISHA MIYAZAWA DPT
1930 E 12TH ST STE 106
CASPER, WY 82601-4076
Phone number: 307-554-7861
Copy
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