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1033250014
CAROL G. SOUTH
BRYAN, TX
NPI
1033250014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1000800)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
Mrs. CAROL G. SOUTH PT
302 E 24TH ST
BRYAN, TX 77803-5303
Phone number: 979-821-9478
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Mailing Address
Mrs. CAROL G. SOUTH PT
302 E 24TH ST
BRYAN, TX 77803-5303
Phone number: 979-821-9478
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