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1558563379
MITZI YANISH
DICKINSON, ND
NPI
1558563379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ND 779)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- MITZI YANISH PTA
30 7TH ST W
DICKINSON, ND 58601-4335
Phone number: 701-456-4000
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Mailing Address
-- MITZI YANISH PTA
1083 17TH AVE W
DICKINSON, ND 58601-3606
Phone number: 701-690-8160
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