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Individual

BRITTANY MICHELLE DEAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10350 MONTANA AVE, EL PASO, TX 79925-1602
(915) 595-6137
Mailing address
14182 CHARLES POLLOCK AVE, EL PASO, TX 79938-3196
(915) 637-4639

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2124538
TX

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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