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1649678830
PATRICE IRVIN
TYLER, TX
NPI
1649678830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2049953)
Enumeration Date
2014-12-20
Last Update Date
2014-12-20
Business Address
Miss PATRICE IRVIN PTA
900 S BAXTER AVE
TYLER, TX 75701-2209
Phone number: 903-597-2805
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Mailing Address
Miss PATRICE IRVIN PTA
3857 LOUISE CT
TYLER, TX 75709-5439
Phone number:
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