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1780033100
AMBER RAE FULLER
LUBBOCK, TX
NPI
1780033100
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Former Name
AMBER RAE CRAWFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2126973)
Enumeration Date
2016-06-07
Last Update Date
2017-02-06
Business Address
Mrs. AMBER RAE FULLER PTA
3501 S LOOP 289
LUBBOCK, TX 79423-1139
Phone number: 806-796-1774
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Mailing Address
Mrs. AMBER RAE FULLER PTA
11103 EVANSTON AVE
LUBBOCK, TX 79424-6469
Phone number: 214-235-3674
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