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1225412091
CRYSTAL WALRAVEN
BRYAN, TX
NPI
1225412091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2055950)
Enumeration Date
2015-07-11
Last Update Date
2015-07-11
Business Address
-- CRYSTAL WALRAVEN PTA
2333 MANOR DR
BRYAN, TX 77802-1907
Phone number: 979-821-7327
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Mailing Address
-- CRYSTAL WALRAVEN PTA
2213 CARLISLE CT
COLLEGE STATION, TX 77845-8811
Phone number: 979-218-6791
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