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1518399625
DANIEL JAMES FISTE
SPARTA, TN
NPI
1518399625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5535)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- DANIEL JAMES FISTE P.T.A.
34 GRACEY ST
SPARTA, TN 38583-2046
Phone number: 931-836-2211
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Mailing Address
-- DANIEL JAMES FISTE P.T.A.
34 GRACEY ST
SPARTA, TN 38583-2046
Phone number: 931-836-2211
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