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1255799425
GARY DANIELSON
ODESSA, TX
NPI
1255799425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: TX AT6549)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
GARY DANIELSON ATC/R
4901 E UNIVERSITY BLVD
ODESSA, TX 79762-8122
Phone number: 432-552-2679
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Mailing Address
GARY DANIELSON ATC/R
4001 FAUDREE RD APT. D203
ODESSA, TX 79765-8620
Phone number:
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