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1962778431
LULA MAE GORDON
STAFFORD, TX
NPI
1962778431
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Former Name
LULA MAE GODON-CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2018206)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
Ms. LULA MAE GORDON PTA
2110 SECRETARIET DR
STAFFORD, TX 77477-6457
Phone number: 281-222-0109
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Mailing Address
Ms. LULA MAE GORDON PTA
2110 SECRETARIET DR
STAFFORD, TX 77477-6457
Phone number: 281-222-0109
Copy
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