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1821035007
MARISSA BALLEDOS
CONROE, TX
NPI
1821035007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1081750)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
-- MARISSA BALLEDOS LPT
508 MEDICAL CENTER BLVD
CONROE, TX 77304-2808
Phone number: 936-521-8295
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Mailing Address
-- MARISSA BALLEDOS LPT
508 MEDICAL CENTER BLVD
CONROE, TX 77304-2808
Phone number:
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