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1417704354
EVAN JOHNSTON
BUFFALO, NY
NPI
1417704354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 014228-01)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
EVAN JOHNSTON PTA
531 VIRGINIA ST
BUFFALO, NY 14202-1450
Phone number: 716-332-4838
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Mailing Address
EVAN JOHNSTON PTA
531 VIRGINIA ST
BUFFALO, NY 14202-1450
Phone number: 716-332-4838
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