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1043790140
MIROSLAVA M MEDELLIN
CORPUS CHRISTI, TX
NPI
1043790140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 2063081)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
MIROSLAVA M MEDELLIN PTA
3030 FIG ST
CORPUS CHRISTI, TX 78404-3834
Phone number: 361-888-5619
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Mailing Address
MIROSLAVA M MEDELLIN PTA
837 ALDEN DR
CORPUS CHRISTI, TX 78412-3123
Phone number: 361-331-8385
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