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1821709007
NICHOLE SHAN CHALA
LUFKIN, TX
NPI
1821709007
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Former Name
NICHOLE SHAN PARKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1201380)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
NICHOLE SHAN CHALA PT
521 N BRENTWOOD
LUFKIN, TX 75904-7124
Phone number: 936-632-2639
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Mailing Address
NICHOLE SHAN CHALA PT
713 PINE VALLEY DR
LUFKIN, TX 75901-7498
Phone number: 936-208-7003
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