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1306326178
JOHANNA FOURIE
LONGVIEW, TX
NPI
1306326178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1147923)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
JOHANNA FOURIE
1104 SEMINOLE LN
LONGVIEW, TX 75605-5746
Phone number: 903-663-3191
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Mailing Address
JOHANNA FOURIE
1104 SEMINOLE LN
LONGVIEW, TX 75605-5746
Phone number:
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