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1760924583
JAMES DARREN BEASLEY
FORT RUCKER, AL
NPI
1760924583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA26823)
Enumeration Date
2016-11-10
Last Update Date
2018-09-12
Business Address
JAMES DARREN BEASLEY PTA
301 ANDREWS AVENUE
FORT RUCKER, AL 36360
Phone number: 334-685-2673
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Mailing Address
JAMES DARREN BEASLEY PTA
9027 S ROCKY CREEK RD
COTTONWOOD, AL 36320-4406
Phone number: 334-685-2673
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