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1912074105
WAYNE THOMAS EVANS
WINCHESTER, VA
NPI
1912074105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602157)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- WAYNE THOMAS EVANS PTA
125 WILLIAMSON PL
WINCHESTER, VA 22602-6402
Phone number: 540-722-0925
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Mailing Address
-- WAYNE THOMAS EVANS PTA
125 WILLIAMSON PL
WINCHESTER, VA 22602-6402
Phone number: 540-722-0925
Copy
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