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1518218452
DALLAS CRUZ ANDERSON
BICKNELL, IN
NPI
1518218452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003386A)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
Mr. DALLAS CRUZ ANDERSON
206 JEFFERSON ST
BICKNELL, IN 47512-2618
Phone number: 812-881-7898
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Mailing Address
Mr. DALLAS CRUZ ANDERSON
206 JEFFERSON ST
BICKNELL, IN 47512-2618
Phone number:
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