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1356886436
DAYLEN DAVIS
LOUISVILLE, KY
NPI
1356886436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005918)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- DAYLEN DAVIS PTA
680 S 4TH ST
LOUISVILLE, KY 40202-2407
Phone number: 502-596-7300
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Mailing Address
-- DAYLEN DAVIS PTA
680 S 4TH ST
LOUISVILLE, KY 40202-2407
Phone number:
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