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1861981649
HOLLY DENISE DOMORAD
WINNSBORO, TX
NPI
1861981649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2051331)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
HOLLY DENISE DOMORAD
406 S MAIN ST
WINNSBORO, TX 75494-3226
Phone number: 903-342-6792
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Mailing Address
HOLLY DENISE DOMORAD
620 TOWN OAKS CIR
KILGORE, TX 75662-2238
Phone number: 903-237-8611
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