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1225353857
DANETTE RANDALL
LAKE JACKSON, TX
NPI
1225353857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1095404)
Enumeration Date
2010-04-07
Last Update Date
2021-05-26
Business Address
DANETTE RANDALL P.T.
337 SHERI LN
LAKE JACKSON, TX 77566-3269
Phone number: 979-418-7165
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Mailing Address
DANETTE RANDALL P.T.
1509 ANDREA DR
BAY CITY, TX 77414-3743
Phone number: 361-676-6011
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