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1063245561
RAPHAEL AUGUSTUS SADIWA
SOUTHLAKE, TX
NPI
1063245561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1104404)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
RAPHAEL AUGUSTUS SADIWA PT, DPT
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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Mailing Address
RAPHAEL AUGUSTUS SADIWA PT, DPT
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
Copy
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