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1073026258
BRYAN FEDOR
BEAUMONT, TX
NPI
1073026258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2133910)
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
BRYAN FEDOR PTA
3817 STAGG DR
BEAUMONT, TX 77701-3717
Phone number: 409-866-0856
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Mailing Address
BRYAN FEDOR PTA
3817 STAGG DR
BEAUMONT, TX 77701-3717
Phone number: 409-866-0856
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