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1316773179
DUSTY SANDERS
CHARLESTON, WV
NPI
1316773179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV PTA002382)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
DUSTY SANDERS PTA
4216 MACCORKLE AVE SE STE 4
CHARLESTON, WV 25304-2512
Phone number: 304-926-0913
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Mailing Address
DUSTY SANDERS PTA
4216 MACCORKLE AVE SE STE 4
CHARLESTON, WV 25304-2512
Phone number: 304-926-0913
Copy
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