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1861659120
KATHLEEN VANCE JOHNSTON
BRYAN, TX
NPI
1861659120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 4043060)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
KATHLEEN VANCE JOHNSTON PTA
1318 MEMORIAL DR
BRYAN, TX 77802-5215
Phone number: 979-776-2872
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Mailing Address
KATHLEEN VANCE JOHNSTON PTA
1318 MEMORIAL DR
BRYAN, TX 77802-5215
Phone number: 979-776-2872
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