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1710449210
RAYMOND SCOTT HANAN
MILWAUKEE, WI
NPI
1710449210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49888)
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
Mr. RAYMOND SCOTT HANAN PTA
6263 N GREEN BAY AVE
MILWAUKEE, WI 53209-3823
Phone number: 414-451-0543
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Mailing Address
Mr. RAYMOND SCOTT HANAN PTA
2350 250TH ST SPC 45
LOMITA, CA 90717-3815
Phone number: 310-626-3332
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