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1558635953
BEVERLY LANE DEXTER
CARROLTON, AL
NPI
1558635953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA5488)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
-- BEVERLY LANE DEXTER
241 ROBERT K WILSON DRIVE
CARROLTON, AL 35447
Phone number: 205-367-8111
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Mailing Address
-- BEVERLY LANE DEXTER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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