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1962983460
KELLY EILEEN NUGENT
ROUND ROCK, TX
NPI
1962983460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2056880)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
KELLY EILEEN NUGENT
17751 PARK VALLEY DR
ROUND ROCK, TX 78681-3592
Phone number: 512-218-6013
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Mailing Address
KELLY EILEEN NUGENT
8525 SHOAL CREEK BLVD APT 102
AUSTIN, TX 78757-7554
Phone number: 512-679-7957
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