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1124564794
SHAUNDA TISDALE
AMARILLO, TX
NPI
1124564794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1147430)
Enumeration Date
2017-01-06
Last Update Date
2018-08-23
Business Address
SHAUNDA TISDALE
3501 S SONCY RD STE 137
AMARILLO, TX 79119
Phone number: 806-331-6084
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Mailing Address
SHAUNDA TISDALE
3501 S SONCY RD STE 137
AMARILLO, TX 79119-6406
Phone number: 806-331-6084
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