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1679052617
KATY WEDGEWORTH
TYLER, TX
NPI
1679052617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2140818)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
KATY WEDGEWORTH
1401 RICE RD
TYLER, TX 75703-3233
Phone number: 903-561-6060
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Mailing Address
KATY WEDGEWORTH
421 S BONNER ST
JACKSONVILLE, TX 75766-2330
Phone number: 903-589-9871
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