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1366000309
LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC
LEAGUE CITY, TX
NPI
1366000309
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Entity Type
Organization
Authorized Contact
BRIAN JOSEPH SANSALONE
Member
281-332-3428
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC
1216 E MAIN ST STE A
LEAGUE CITY, TX 77573-7463
Phone number: 281-332-3428
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Mailing Address
LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC
1216 E MAIN ST STE A
LEAGUE CITY, TX 77573-7463
Phone number: 281-332-3428
Copy
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