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1083196299
EMMANUEL ENVERGA
ODESSA, TX
NPI
1083196299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1218651)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
EMMANUEL ENVERGA PT, DPT
1020 N COUNTY RD W
ODESSA, TX 79763-3436
Phone number: 432-332-0371
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Mailing Address
EMMANUEL ENVERGA PT, DPT
3619 LOCUST AVE
ODESSA, TX 79762-7750
Phone number:
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