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1760966618
ALLEN MIRANDA GENETA
SUGAR LAND, TX
NPI
1760966618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2091509)
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
Mr. ALLEN MIRANDA GENETA PTA
1803 WESTCOTT AVE
SUGAR LAND, TX 77479-4680
Phone number: 281-329-4300
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Mailing Address
Mr. ALLEN MIRANDA GENETA PTA
17114 SIMON CT
RICHMOND, TX 77407-2600
Phone number: 832-686-1646
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