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1871142141
MIRIAH LYN HUMPHREYS
FORT WORTH, TX
NPI
1871142141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2131547)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
MIRIAH LYN HUMPHREYS PTA
9525 N BEACH ST STE 405
FORT WORTH, TX 76244-6438
Phone number: 817-502-7411
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Mailing Address
MIRIAH LYN HUMPHREYS PTA
9525 N BEACH ST STE 405
FORT WORTH, TX 76244-6438
Phone number: 817-502-7411
Copy
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