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1659136364
RYAN JACK CHIZMAR
LAWRENCEVILLE, GA
NPI
1659136364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
RYAN JACK CHIZMAR PTA
1404 LAWRENCEVILLE SUWANEE RD STE A1
LAWRENCEVILLE, GA 30043-4331
Phone number: 954-257-0104
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Mailing Address
RYAN JACK CHIZMAR PTA
1404 LAWRENCEVILLE SUWANEE RD STE A1
LAWRENCEVILLE, GA 30043-4331
Phone number: 954-257-0104
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