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1487254082
JUSTIN WAYNE KYSER
GADSDEN, AL
NPI
1487254082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA9612)
Enumeration Date
2020-11-01
Last Update Date
2020-11-01
Business Address
-- JUSTIN WAYNE KYSER PTA
2301 RAINBOW DR
GADSDEN, AL 35901-5517
Phone number: 256-543-3467
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Mailing Address
-- JUSTIN WAYNE KYSER PTA
325 COAL ST
SANDROCK, AL 35983-4385
Phone number: 256-844-0723
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