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1891315701
HEATHER LYNNE DONOVAN
LONGVIEW, TX
NPI
1891315701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX CP000607A)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
HEATHER LYNNE DONOVAN PTA
3201 4TH ST
LONGVIEW, TX 75605-5145
Phone number: 903-236-4291
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Mailing Address
HEATHER LYNNE DONOVAN PTA
857 TIPPERARY RD
IOWA CITY, IA 52246-2798
Phone number: 319-461-6780
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