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1518741420
EILEEN JAQUEZ
ODESSA, TX
NPI
1518741420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2177699)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
EILEEN JAQUEZ PTA
2760 N GRANDVIEW AVE STE A
ODESSA, TX 79762-6953
Phone number: 432-552-7034
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Mailing Address
EILEEN JAQUEZ PTA
2760 N GRANDVIEW AVE STE A
ODESSA, TX 79762-6953
Phone number: 432-552-7034
Copy
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