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1437766102
BETHANIE LYNN NISHIMURA
LOUISVILLE, KY
NPI
1437766102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06006125A)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
BETHANIE LYNN NISHIMURA PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
BETHANIE LYNN NISHIMURA PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Copy
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