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1700385762
MATTHEW JACOB LARES
EL PASO, TX
NPI
1700385762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1302060)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
MATTHEW JACOB LARES PT
4242 HONDO PASS DRIVE SUITE 110
EL PASO, TX 79904
Phone number:
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Mailing Address
MATTHEW JACOB LARES PT
2280 TRAWOOD DRIVE
EL PASO, TX 79935
Phone number:
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