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1720558968
GREGORY BOLENBAUGH
SPRING, TX
NPI
1720558968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2138069)
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
GREGORY BOLENBAUGH PTA
25018 OAKHURST DR
SPRING, TX 77386-2722
Phone number: 281-364-9695
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Mailing Address
GREGORY BOLENBAUGH PTA
25018 OAKHURST DR
SPRING, TX 77386-2722
Phone number:
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