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1982337168
ETHAN PEREZ
TYLER, TX
NPI
1982337168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2165035)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
ETHAN PEREZ
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
ETHAN PEREZ
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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