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1073125936
AARON TAN REALISTA
KATY, TX
NPI
1073125936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 121049)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
AARON TAN REALISTA
21630 MERCHANTS WAY
KATY, TX 77449-2514
Phone number: 832-230-1518
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Mailing Address
AARON TAN REALISTA
5211 YORKWOOD RD S
MOBILE, AL 36693-4256
Phone number: 251-786-3875
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