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1912670944
JACLYN HUMPHREY
AMARILLO, TX
NPI
1912670944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2045680)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
JACLYN HUMPHREY PTA
2611 SW 46TH AVE
AMARILLO, TX 79110-1735
Phone number: 806-355-6517
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Mailing Address
JACLYN HUMPHREY PTA
2611 SW 46TH AVE
AMARILLO, TX 79110-1735
Phone number: 806-355-6517
Copy
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