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1902461080
MICAH THOMAS EASTERLING
KIRTLAND AFB, NM
NPI
1902461080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2019-05-04
Last Update Date
2021-03-30
Business Address
MICAH THOMAS EASTERLING PT ,DPT
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-1212
Phone number: 505-846-3200
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Mailing Address
MICAH THOMAS EASTERLING PT ,DPT
222 E COLORADO BLVD
DALLAS, TX 75203-1212
Phone number:
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