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1023243953
SHANE ADAM MYATT
LUFKIN, TX
NPI
1023243953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1135408)
Enumeration Date
2009-05-21
Last Update Date
2010-06-30
Business Address
-- SHANE ADAM MYATT LPT
402 S JOHN REDDITT DR
LUFKIN, TX 75904-3107
Phone number: 936-632-2107
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Mailing Address
-- SHANE ADAM MYATT LPT
402 S JOHN REDDITT DR
LUFKIN, TX 75904-3107
Phone number: 936-632-2107
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