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1013221373
BLAINE ERIC BOOHER
ROUND ROCK, TX
NPI
1013221373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: TX 1191290)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
-- BLAINE ERIC BOOHER PT
16020 PARK VALLEY DR
ROUND ROCK, TX 78681-3573
Phone number: 512-388-1448
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Mailing Address
-- BLAINE ERIC BOOHER PT
16020 PARK VALLEY DR
ROUND ROCK, TX 78681-3573
Phone number: 512-388-1448
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