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1649628355
IVAN ALCIDES MORA
SHERMAN, TX
NPI
1649628355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2016-06-03
Last Update Date
2016-06-03
Business Address
-- IVAN ALCIDES MORA DPT
2021 N HIGHWAY 1417
SHERMAN, TX 75092-3106
Phone number: 903-892-4800
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Mailing Address
-- IVAN ALCIDES MORA DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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