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1194202275
JUSTIN LANCE FIELDS
WINNSBORO, TX
NPI
1194202275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2138895)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
JUSTIN LANCE FIELDS PTA, BS
406 S MAIN ST
WINNSBORO, TX 75494-3226
Phone number: 903-342-6790
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Mailing Address
JUSTIN LANCE FIELDS PTA, BS
1130 E HAWKINS PKWY APT 6304
LONGVIEW, TX 75605-8143
Phone number:
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