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1861800773
PHILLIP BRUCE
SOLDOTNA, AK
NPI
1861800773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 2796)
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
-- PHILLIP BRUCE PTA
35105 KENAI SPURY HWY SUITE A
SOLDOTNA, AK 99669
Phone number: 907-262-7800
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Mailing Address
-- PHILLIP BRUCE PTA
PO BOX 3313
SOLDOTNA, AK 99669-3313
Phone number: 907-262-7800
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