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1134608326
JUAN JOSE FABIAN
GRAND SALINE, TX
NPI
1134608326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2049040)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
Mr. JUAN JOSE FABIAN PTA
1638 VZ 1803
GRAND SALINE, TX 75140-7514
Phone number: 903-962-7595
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Mailing Address
Mr. JUAN JOSE FABIAN PTA
1638 VZ CR 1803
GRAND SALINE, TX 75140
Phone number: 903-275-8500
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