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1649593682
BRIAN PAUL RIDENOUR
LUBBOCK, TX
NPI
1649593682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 113474)
Enumeration Date
2010-03-04
Last Update Date
2014-06-11
Business Address
-- BRIAN PAUL RIDENOUR OTR
5225 S LOOP 289 STE 210
LUBBOCK, TX 79424-1319
Phone number: 806-780-4180
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Mailing Address
-- BRIAN PAUL RIDENOUR OTR
305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200
HURST, TX 76503
Phone number: 817-292-8787
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