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1124306584
IAN W MORA
GRAPEVINE, TX
NPI
1124306584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2011-08-02
Last Update Date
2024-03-20
Business Address
IAN W MORA PT
1401 WILLIAM D TATE AVE STE 300
GRAPEVINE, TX 76051-4024
Phone number: 817-527-3377
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Mailing Address
IAN W MORA PT
790 REMINGTON BLVD STE 1020
BOLINGBROOK, IL 60440-4909
Phone number:
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