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1568942548
ANDREW JACOB CULLUM
LOUISVILLE, KY
NPI
1568942548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005738A)
Enumeration Date
2018-08-18
Last Update Date
2018-08-18
Business Address
ANDREW JACOB CULLUM
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
ANDREW JACOB CULLUM
3604 N NEW YORK AVE
MUNCIE, IN 47304-1869
Phone number: 765-760-6850
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