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1790494052
PAUL LYLE MCMAHON
RAPID CITY, SD
NPI
1790494052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0544)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
PAUL LYLE MCMAHON PTA
1110 W OMAHA ST # 3
RAPID CITY, SD 57701-8097
Phone number: 605-721-5950
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Mailing Address
PAUL LYLE MCMAHON PTA
440 E CUSTER ST
RAPID CITY, SD 57701-1014
Phone number: 515-320-5474
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