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1659454205
BRIAN CHARLES PRAX
JACKSON, WY
NPI
1659454205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-693)
Enumeration Date
2006-10-24
Last Update Date
2016-08-08
Business Address
Mr. BRIAN CHARLES PRAX MA PT
185 POWDERHORN LN
JACKSON, WY 83001-8426
Phone number: 307-200-1332
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Mailing Address
Mr. BRIAN CHARLES PRAX MA PT
PO BOX 3185
JACKSON, WY 83001-3185
Phone number: 307-200-1332
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