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1922606862
ALENA BOLSHAKOVA
AUSTIN, TX
NPI
1922606862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2157760)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
ALENA BOLSHAKOVA PTA
3120 SUN DRENCHED PATH
AUSTIN, TX 78732-1950
Phone number: 404-493-1628
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Mailing Address
ALENA BOLSHAKOVA PTA
3120 SUN DRENCHED PATH
AUSTIN, TX 78732-1950
Phone number: 404-493-1628
Copy
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