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1659328565
CORY A CHISOLM
BEAR, DE
NPI
1659328565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J20000626)
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
Mr. CORY A CHISOLM PTA
1651 PULASKI HIGHWAY
BEAR, DE 19701
Phone number: 302-834-1550
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Mailing Address
Mr. CORY A CHISOLM PTA
2329 MILTON PL
NEWARK, DE 19702-4449
Phone number: 302-229-0332
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