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1629411400
PHILLIP CLARK STOLTS
BROWNSVILLE, TX
NPI
1629411400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 114719)
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
Mr. PHILLIP CLARK STOLTS OTR
302 LORENALY DR STE D
BROWNSVILLE, TX 78526-4332
Phone number: 956-350-6696
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Mailing Address
Mr. PHILLIP CLARK STOLTS OTR
2205 WOOLAM RD
SAN BENITO, TX 78586-3317
Phone number: 956-536-7589
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