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1619019015
SUSAN DIANE MIZE
VIRGINIA BEACH, VA
NPI
1619019015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305002648)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- SUSAN DIANE MIZE P.T.
3124 QUIMBY RD
VIRGINIA BEACH, VA 23452-7043
Phone number: 757-641-0545
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Mailing Address
-- SUSAN DIANE MIZE P.T.
3124 QUIMBY RD
VIRGINIA BEACH, VA 23452-7043
Phone number: 757-641-0545
Copy
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