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1902672348
ALISSA PAULA SEBASTIAN GAMOL
MIDLAND, TX
NPI
1902672348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 1286600)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
ALISSA PAULA SEBASTIAN GAMOL
2501 W ILLINOIS AVE
MIDLAND, TX 79701-6436
Phone number: 432-203-0200
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Mailing Address
ALISSA PAULA SEBASTIAN GAMOL
4805 BRIARWOOD AVE APT D306
MIDLAND, TX 79707-2656
Phone number: 432-276-0711
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