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1558961607
LARRY DEAN LANE
SAN ANTONIO, TX
NPI
1558961607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2072503)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
LARRY DEAN LANE PTA
2829 BABCOCK RD STE 700
SAN ANTONIO, TX 78229-6015
Phone number: 210-396-5270
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Mailing Address
LARRY DEAN LANE PTA
26046 LAUREL PASS
SAN ANTONIO, TX 78260-2474
Phone number: 916-798-4823
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