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1568179505
MICAELA DEESE
FORT RUCKER, AL
NPI
1568179505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA9860)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
MICAELA DEESE PTA
301 ANDREWS AVE
FORT RUCKER, AL 36362
Phone number: 334-255-7169
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Mailing Address
MICAELA DEESE PTA
301 ANDREWS AVE
FORT RUCKER, AL 36362
Phone number: 334-255-7169
Copy
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