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1528331303
MALLORY SYLVIA PONCE
ALLEN, TX
NPI
1528331303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1215131)
Enumeration Date
2012-02-09
Last Update Date
2015-01-22
Business Address
MALLORY SYLVIA PONCE
1116 DOVE BROOK DR
ALLEN, TX 75002-2701
Phone number: 972-965-0823
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Mailing Address
MALLORY SYLVIA PONCE
1116 DOVE BROOK DR
ALLEN, TX 75002-2701
Phone number: 972-965-0823
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