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1427795897
IAN REBROOK
CHARLESTON, WV
NPI
1427795897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 002388)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
IAN REBROOK
1508 SUMMIT DR W
CHARLESTON, WV 25302-2932
Phone number: 304-542-5212
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Mailing Address
IAN REBROOK
1508 SUMMIT DR W
CHARLESTON, WV 25302-2932
Phone number: 304-542-5212
Copy
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