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1265634141
AMANDA STORER
TYLER, TX
NPI
1265634141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2063126)
Enumeration Date
2007-06-04
Last Update Date
2007-07-31
Business Address
Miss AMANDA STORER PTA
5609 DONNYBROOK AVE
TYLER, TX 75703-6111
Phone number: 903-561-2808
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Mailing Address
Miss AMANDA STORER PTA
2937 FM 3135 E
HENDERSON, TX 75652-8949
Phone number: 903-312-4925
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