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1679053672
KASEY JO LANTRIP-PRUETT
DENTON, TX
NPI
1679053672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2083287)
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
KASEY JO LANTRIP-PRUETT PTA
205 N BONNIE BRAE ST
DENTON, TX 76201-3766
Phone number: 940-703-7227
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Mailing Address
KASEY JO LANTRIP-PRUETT PTA
608 CADDELL ST
AUBREY, TX 76227-9231
Phone number: 940-390-0084
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