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1073095105
JORGE LUIS VILLARREAL
HARLINGEN, TX
NPI
1073095105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2045169)
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
JORGE LUIS VILLARREAL PTA
820 CAMELOT DR
HARLINGEN, TX 78550-8400
Phone number: 956-423-2663
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Mailing Address
JORGE LUIS VILLARREAL PTA
3014 VIOLA DR
MISSION, TX 78574-2072
Phone number: 956-655-5291
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