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1174004055
SHEILA L WIEDEMAN
ODESSA, TX
NPI
1174004055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2024701)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
SHEILA L WIEDEMAN
5001 OFFICE PARK
ODESSA, TX 79762-4843
Phone number: 361-443-6937
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Mailing Address
SHEILA L WIEDEMAN
2408 FLARE CT
MIDLAND, TX 79705-4302
Phone number:
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