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1558116152
DOMINIC MARISCAL
HUMBLE, TX
NPI
1558116152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1385246)
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
DOMINIC MARISCAL
15431 CORDACH DR
HUMBLE, TX 77346-4766
Phone number: 713-386-9947
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Mailing Address
DOMINIC MARISCAL
15431 CORDACH DR
HUMBLE, TX 77346-4766
Phone number: 713-386-9947
Copy
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