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1457484800
DIAMANTINA VIRGINIA BEVERS
LUBBOCK, TX
NPI
1457484800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX PTA2053560TX)
Enumeration Date
2007-03-14
Last Update Date
2011-08-29
Business Address
-- DIAMANTINA VIRGINIA BEVERS PTA
4138 19TH ST
LUBBOCK, TX 79407-2403
Phone number: 806-780-2329
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Mailing Address
-- DIAMANTINA VIRGINIA BEVERS PTA
2431 S LOOP 289
LUBBOCK, TX 79423-1519
Phone number: 806-771-8008
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