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1740615301
PRO ACTIVE PODIATRY PA
ROCKWALL, TX
NPI
1740615301
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Entity Type
Organization
Authorized Contact
PARICHART VAIKAYEE
President
972-232-2240
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
PRO ACTIVE PODIATRY PA
2504 RIDGE RD SUITE 101B
ROCKWALL, TX 75087-2569
Phone number: 972-232-2240
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Mailing Address
PRO ACTIVE PODIATRY PA
2504 RIDGE RD SUITE 101B
ROCKWALL, TX 75087-2569
Phone number: 972-232-2240
Copy
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