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1376887802
DONNA CARLISLE MORENO
IRONDALE, AL
NPI
1376887802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA585)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
-- DONNA CARLISLE MORENO LPTA
1313 LAWRENCE ST
IRONDALE, AL 35210-1401
Phone number: 205-613-6570
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Mailing Address
-- DONNA CARLISLE MORENO LPTA
1313 LAWRENCE ST
IRONDALE, AL 35210-1401
Phone number: 205-613-6570
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