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1760754477
SANDRA GLEZEN
LONGVIEW, TX
NPI
1760754477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2064113)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
-- SANDRA GLEZEN
111 RUTHLYNN DR
LONGVIEW, TX 75605-5635
Phone number: 903-238-9198
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Mailing Address
-- SANDRA GLEZEN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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