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1356821243
BENITO V CORRALEZ
LUBBOCK, TX
NPI
1356821243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2104791)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
Mr. BENITO V CORRALEZ
4910 EMORY ST
LUBBOCK, TX 79416-3026
Phone number: 806-740-0800
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Mailing Address
Mr. BENITO V CORRALEZ
4910 EMORY ST
LUBBOCK, TX 79416-3026
Phone number: 806-740-0800
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