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1407510753
CHALICE HENRY
BRYAN, TX
NPI
1407510753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2156939)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
CHALICE HENRY PTA
2333 MANOR DR
BRYAN, TX 77802-1907
Phone number: 979-821-7327
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Mailing Address
CHALICE HENRY PTA
2411 DE LEE ST APT 4
BRYAN, TX 77802-2855
Phone number: 979-665-9015
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