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1245209808
MEGGEN SMILEY HEISSERER
SOUTHLAKE, TX
NPI
1245209808
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Former Name
MEGGEN BETH SMILEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1142198)
Enumeration Date
2006-03-16
Last Update Date
2014-04-10
Business Address
Mrs. MEGGEN SMILEY HEISSERER
731 E SOUTHLAKE BLVD SUITE 150
SOUTHLAKE, TX 76092-6377
Phone number: 817-442-8600
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Mailing Address
Mrs. MEGGEN SMILEY HEISSERER
PO BOX 2650
COPPELL, TX 75019-8650
Phone number: 972-724-2400
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