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1720708076
TRENTICE DESHAUN LAZARD
MESQUITE, TX
NPI
1720708076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1386709)
Enumeration Date
2022-08-29
Last Update Date
2024-10-15
Business Address
TRENTICE DESHAUN LAZARD
1515 N TOWN EAST BLVD STE 500
MESQUITE, TX 75150-4145
Phone number: 214-273-2903
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Mailing Address
TRENTICE DESHAUN LAZARD
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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