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1609011014
MARY RUSSELL KILGORE
HOUSTON, TX
NPI
1609011014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: TX 100794)
Enumeration Date
2008-12-14
Last Update Date
2008-12-14
Business Address
MARY RUSSELL KILGORE OTR
17045 EL CAMINO REAL SUITE 106
HOUSTON, TX 77058-2649
Phone number: 281-480-5648
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Mailing Address
MARY RUSSELL KILGORE OTR
17045 EL CAMINO REAL SUITE 106
HOUSTON, TX 77058-2649
Phone number: 281-480-5648
Copy
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