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1407962426
KATHLEEN MARY THIBODEAUX HASLAM
LONGVIEW, TX
NPI
1407962426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1143816)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN MARY THIBODEAUX HASLAM P.T.
2010 GILMER RD
LONGVIEW, TX 75604-2511
Phone number: 903-297-0008
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Mailing Address
Ms. KATHLEEN MARY THIBODEAUX HASLAM P.T.
2010 GILMER RD
LONGVIEW, TX 75604-2511
Phone number: 903-297-0008
Copy
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