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Individual

CAMILLE JORDAN WATERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1817 TILE FACTORY RD, PALESTINE, TX 75803-8471
(903) 729-2261
Mailing address
22982 COUNTY ROAD 187, BULLARD, TX 75757-8158
(903) 571-8674

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130519
TX

Other

Enumeration date
08/27/2018
Last updated
08/27/2018
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