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1407436637
TREVOR DOUGLAS
TYLER, TX
NPI
1407436637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2153119)
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
TREVOR DOUGLAS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
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Mailing Address
TREVOR DOUGLAS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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