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1538400627
ERIK ALEXANDER PERNES CALUSCUSAO
WACO, TX
NPI
1538400627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1214150)
Enumeration Date
2013-03-14
Last Update Date
2018-08-31
Business Address
Mr. ERIK ALEXANDER PERNES CALUSCUSAO Physical Therapist
415 OWEN LN APT 911
WACO, TX 76710
Phone number: 509-386-2091
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Mailing Address
Mr. ERIK ALEXANDER PERNES CALUSCUSAO Physical Therapist
415 OWEN LN APT 911
WACO, TX 76710-8915
Phone number: 509-386-2091
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