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1013766633
KELLAN ROBERT BARRY
LIVE OAK, TX
NPI
1013766633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1391899)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
KELLAN ROBERT BARRY
12500 JUDSON RD # 201
LIVE OAK, TX 78233-4101
Phone number: 210-699-8326
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Mailing Address
KELLAN ROBERT BARRY
117 BURR OAK ST
SEGUIN, TX 78155-7433
Phone number: 830-304-0504
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