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1669921466
IVAN BARBOZA
DALLAS, TX
NPI
1669921466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2082271)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
-- IVAN BARBOZA
5931 REIGER AVE
DALLAS, TX 75214
Phone number: 915-491-1275
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Mailing Address
-- IVAN BARBOZA
5931 REIGER AVE
DALLAS, TX 75214
Phone number: 915-491-1275
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