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1033621222
PHILIP BROGDEN
AUSTIN, TX
NPI
1033621222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT121606)
Enumeration Date
2017-10-29
Last Update Date
2017-10-29
Business Address
PHILIP BROGDEN LMT
14028 N HIGHWAY 183 STE D120
AUSTIN, TX 78717-5992
Phone number: 512-250-8800
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Mailing Address
PHILIP BROGDEN LMT
14028 N HIGHWAY 183 STE D120
AUSTIN, TX 78717-5992
Phone number: 512-250-8800
Copy
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