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1053659649
MAMAWAH ISATA BOURQUE
DALLAS, TX
NPI
1053659649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1210663)
Enumeration Date
2013-01-16
Last Update Date
2013-01-16
Business Address
Dr. MAMAWAH ISATA BOURQUE P.T.
14332 MONTFORT DR #4101
DALLAS, TX 75254-8486
Phone number: 713-256-4708
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Mailing Address
Dr. MAMAWAH ISATA BOURQUE P.T.
14332 MONTFORT DR #4101
DALLAS, TX 75254-8486
Phone number: 713-256-4708
Copy
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