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1407496359
ENGELBERT DIZON DE VERA
CORPUS CHRISTI, TX
NPI
1407496359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1125821)
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
ENGELBERT DIZON DE VERA PT
5113 SPRING BROOK DR
CORPUS CHRISTI, TX 78413-5629
Phone number: 361-248-2004
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Mailing Address
ENGELBERT DIZON DE VERA PT
PO BOX 61160
CORPUS CHRISTI, TX 78466-1160
Phone number: 361-884-2904
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