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1639449648
IDA MANGREM
ODESSA, TX
NPI
1639449648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2083203)
Enumeration Date
2012-01-06
Last Update Date
2012-01-06
Business Address
-- IDA MANGREM P.T.A.
2525 N GRANDVIEW AVE STE 400
ODESSA, TX 79761-1600
Phone number: 432-550-4700
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Mailing Address
-- IDA MANGREM P.T.A.
2525 N GRANDVIEW AVE STE 400
ODESSA, TX 79761-1600
Phone number: 432-550-4700
Copy
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