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1912165689
KENNETH MARK JOLLEY
ODESSA, TX
NPI
1912165689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 4043303)
Enumeration Date
2008-05-29
Last Update Date
2008-05-29
Business Address
KENNETH MARK JOLLEY PTA
2525 N GRANDVIEW AVE 400
ODESSA, TX 79761-1600
Phone number: 432-550-4700
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Mailing Address
KENNETH MARK JOLLEY PTA
2525 N GRANDVIEW AVE 400
ODESSA, TX 79761-1600
Phone number: 432-550-4700
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