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1750004289
MISHELL VIDES
HOUSTON, TX
NPI
1750004289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 217588)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
MISHELL VIDES
4818 E SAM HOUSTON PKWY N
HOUSTON, TX 77015-3240
Phone number: 713-773-5110
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Mailing Address
MISHELL VIDES
12371 S KIRKWOOD RD
STAFFORD, TX 77477-2836
Phone number: 713-773-5100
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