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1407336167
IVORYNE MAUDE BOLLINGER
WICHITA FALLS, TX
NPI
1407336167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 204409)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
IVORYNE MAUDE BOLLINGER
910 MIDWESTERN PKWY
WICHITA FALLS, TX 76302-2210
Phone number: 940-767-5500
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Mailing Address
IVORYNE MAUDE BOLLINGER
910 MIDWESTERN PKWY
WICHITA FALLS, TX 76302-2210
Phone number:
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