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1437514478
IVY ROSE EMBELLADO
LUFKIN, TX
NPI
1437514478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2116958)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
IVY ROSE EMBELLADO PTA
402 S. JOHN REDDITT DR.
LUFKIN, TX 75904
Phone number: 936-632-2107
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Mailing Address
IVY ROSE EMBELLADO PTA
402 S JOHN REDDITT DR
LUFKIN, TX 75904-3108
Phone number: 936-632-2107
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