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1447894365
MICAELA BROOKE LOPEZ
AMARILLO, TX
NPI
1447894365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2151672)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
MICAELA BROOKE LOPEZ
5507 SW 9TH AVE # 4130
AMARILLO, TX 79106-4130
Phone number: 806-468-7611
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Mailing Address
MICAELA BROOKE LOPEZ
6705 DIAMOND CT
AMARILLO, TX 79124-1139
Phone number: 806-570-4845
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