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1518201235
JILL ALLISON FAGEN
ALLEN, TX
NPI
1518201235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2037240)
Enumeration Date
2012-11-19
Last Update Date
2015-04-13
Business Address
-- JILL ALLISON FAGEN PTA
201 GLENWICK PL
ALLEN, TX 75013-1528
Phone number: 972-489-9260
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Mailing Address
-- JILL ALLISON FAGEN PTA
201 GLENWICK PL
ALLEN, TX 75013-1528
Phone number: 972-489-9260
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