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1740569615
KEVIN MAINES
EVANSVILLE, IN
NPI
1740569615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002178A)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
-- KEVIN MAINES
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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Mailing Address
-- KEVIN MAINES
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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