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1861815920
LACI BIRDEN
FORT WORTH, TX
NPI
1861815920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1162968)
Enumeration Date
2014-01-27
Last Update Date
2014-01-27
Business Address
-- LACI BIRDEN
2504 ENSENADA LN
FORT WORTH, TX 76108-4992
Phone number: 817-598-0162
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Mailing Address
-- LACI BIRDEN
2504 ENSENADA LN
FORT WORTH, TX 76108-4992
Phone number:
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