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1437821584
KEITHCHANDA BOONE
BRYAN, TX
NPI
1437821584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2062868)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
KEITHCHANDA BOONE PTA, BS-CSM
2345 MANOR DR
BRYAN, TX 77802-1908
Phone number: 979-821-7330
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Mailing Address
KEITHCHANDA BOONE PTA, BS-CSM
[email protected]
4128 WHISPERING CREED DR. 77845
COLLEGE STATION, TX 77845
Phone number: 979-574-0166
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