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1447927025
CHARLETTE LULLY
RICHARDSON, TX
NPI
1447927025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2164720)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
CHARLETTE LULLY PTA
714 W ARAPAHO RD
RICHARDSON, TX 75080-4156
Phone number: 919-424-5078
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Mailing Address
CHARLETTE LULLY PTA
12009 COIT RD APT M2142
DALLAS, TX 75251-2436
Phone number:
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