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1629119151
KEVIN JOHN LIST
FAYETTEVILLE, PA
NPI
1629119151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT009778L)
Enumeration Date
2007-02-09
Last Update Date
2019-09-26
Business Address
KEVIN JOHN LIST PT
6743 FAIRWAY DR E
FAYETTEVILLE, PA 17222-9400
Phone number: 717-658-7135
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Mailing Address
KEVIN JOHN LIST PT
6743 FAIRWAY DR E
FAYETTEVILLE, PA 17222-9400
Phone number: 717-658-7135
Copy
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