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1811089154
HERMEL BEJOSANO VIDENA
RICHARDSON, TX
NPI
1811089154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1074169)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Mr. HERMEL BEJOSANO VIDENA LPT
375 MUNICIPAL DR 144
RICHARDSON, TX 75080
Phone number: 214-271-4368
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Mailing Address
Mr. HERMEL BEJOSANO VIDENA LPT
4329 BENTON ELM DRIVE
PLANO, TX 75024
Phone number: 469-358-5166
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