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1487005591
LISA MICHELLE CARSON
GLASGOW, KY
NPI
1487005591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02785)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
-- LISA MICHELLE CARSON PTA
109 HOMEWOOD BLVD
GLASGOW, KY 42141-3468
Phone number: 270-651-6126
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Mailing Address
-- LISA MICHELLE CARSON PTA
207 POTEET DR
BOWLING GREEN, KY 42104-6452
Phone number:
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