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1477033512
LARRY DON BOARDMAN
FORT WORTH, TX
NPI
1477033512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2101868)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
LARRY DON BOARDMAN PTA
4201 STONEGATE BLVD
FORT WORTH, TX 76109-9503
Phone number: 817-924-5440
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Mailing Address
LARRY DON BOARDMAN PTA
4201 STONEGATE BLVD
FORT WORTH, TX 76109-9503
Phone number: 817-924-5440
Copy
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