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1437568870
KIM SCOVILLE
LEBANON, OH
NPI
1437568870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 09108)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
-- KIM SCOVILLE PTA
424 TERRACE CREEK CT
LEBANON, OH 45036-8118
Phone number: 937-238-4621
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Mailing Address
-- KIM SCOVILLE PTA
424 TERRACE CREEK CT
LEBANON, OH 45036-8118
Phone number: 937-238-4621
Copy
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