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1366006728
CHARLES AGBONGHAE
WACO, TX
NPI
1366006728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1203007)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
Dr. CHARLES AGBONGHAE PT
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-421-9364
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Mailing Address
Dr. CHARLES AGBONGHAE PT
10021 BIRCH TREE DR
TEMPLE, TX 76502-5368
Phone number: 254-421-9364
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