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1629101761
KELLY SHAWN DEBOOM
SAN ANTONIO, TX
NPI
1629101761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1099570)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mrs. KELLY SHAWN DEBOOM PT
520 MADISON OAK DR
SAN ANTONIO, TX 78258-3913
Phone number: 210-297-4525
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Mailing Address
Mrs. KELLY SHAWN DEBOOM PT
233 LINDELL PL
SAN ANTONIO, TX 78212-3110
Phone number: 210-732-8408
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