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1023735859
CORAZON MONIQUE ELISERIO IBARRA
KATY, TX
NPI
1023735859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1200973)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
CORAZON MONIQUE ELISERIO IBARRA PT
5007 CASTLE DISCORDIA ST
KATY, TX 77493-3258
Phone number: 832-480-4559
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Mailing Address
CORAZON MONIQUE ELISERIO IBARRA PT
5007 CASTLE DISCORDIA ST
KATY, TX 77493-3258
Phone number: 832-480-4559
Copy
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