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1255380812
ANTONINO EDMOND IANNELLO
HOUSTON, TX
NPI
1255380812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1149730)
Enumeration Date
2006-05-09
Last Update Date
2018-02-16
Business Address
Mr. ANTONINO EDMOND IANNELLO PT
2400 AUGUSTA DR STE 155
HOUSTON, TX 77057-4922
Phone number: 713-622-2929
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Mailing Address
Mr. ANTONINO EDMOND IANNELLO PT
2400 AUGUSTA DR STE 155
HOUSTON, TX 77057-4922
Phone number: 713-622-2929
Copy
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