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1740542083
JENNICA VAUGHAN RADLE
SAN ANTONIO, TX
NPI
1740542083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2086140)
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- JENNICA VAUGHAN RADLE PTA
85 NE LOOP 410 STE 612
SAN ANTONIO, TX 78216-5866
Phone number: 210-494-2343
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Mailing Address
-- JENNICA VAUGHAN RADLE PTA
85 NE LOOP 410 STE 612
SAN ANTONIO, TX 78216-5866
Phone number: 801-721-9170
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