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1356530489
JENNIFER MOSQUEDA
BRYAN, TX
NPI
1356530489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2006896)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
-- JENNIFER MOSQUEDA PTA
2505 E VILLA MARIA RD
BRYAN, TX 77802-2038
Phone number: 979-776-3863
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Mailing Address
-- JENNIFER MOSQUEDA PTA
16273 FM 3090 RD
ANDERSON, TX 77830-5606
Phone number: 979-776-3863
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