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1891275673
XAVIER DIAZ SOTO
GEORGETOWN, TX
NPI
1891275673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2077452)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
XAVIER DIAZ SOTO PTA
2001 SCENIC DR
GEORGETOWN, TX 78626-7725
Phone number: 512-863-9511
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Mailing Address
XAVIER DIAZ SOTO PTA
310 GRAND JUNCTION TRL
GEORGETOWN, TX 78626-7088
Phone number: 432-556-9526
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