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1255655528
CHELLISA PAULINE MATA
BRYAN, TX
NPI
1255655528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1179563)
Enumeration Date
2010-03-16
Last Update Date
2013-04-11
Business Address
Ms. CHELLISA PAULINE MATA PT
1318 MEMORIAL DR
BRYAN, TX 77802-5215
Phone number: 979-776-2872
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Mailing Address
Ms. CHELLISA PAULINE MATA PT
1318 MEMORIAL DR
BRYAN, TX 77802-5215
Phone number: 979-776-2872
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