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1972834828
TYLER THOMAS HAWKINS
ELKHART, IN
NPI
1972834828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003745A)
Enumeration Date
2010-01-15
Last Update Date
2010-01-15
Business Address
-- TYLER THOMAS HAWKINS PTA
3965 DORAL LN.
ELKHART, IN 46517
Phone number: 574-221-9298
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Mailing Address
-- TYLER THOMAS HAWKINS PTA
3965 DORAL LN
ELKHART, IN 46517-3867
Phone number: 574-221-9298
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