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1417299983
LATASHA N TATES
BRYAN, TX
NPI
1417299983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2054700)
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
LATASHA N TATES PTA
2333 MANOR DRIVE
BRYAN, TX 77802
Phone number: 979-821-7327
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Mailing Address
LATASHA N TATES PTA
117 SILKWOOD DR
BRYAN, TX 77803-3541
Phone number: 832-334-1655
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