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1134713928
DAMIAN HERNANDEZ
FORT WORTH, TX
NPI
1134713928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2159998)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
DAMIAN HERNANDEZ
9613 BRENDEN DR
FORT WORTH, TX 76108-3884
Phone number: 682-321-4860
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Mailing Address
DAMIAN HERNANDEZ
9613 BRENDEN DR
FORT WORTH, TX 76108-3884
Phone number: 682-321-4860
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