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Individual

MRS. BETTY JANE MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
14019 SOUTHWEST FWY STE 301, PMB 244, SUGAR LAND, TX 77478-3551
(713) 249-7655
Mailing address
14019 SOUTHWEST FWY STE 301, PMB 244, SUGAR LAND, TX 77478-3551
(713) 249-7655

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
1006468
TX
171W00000X
Contractor
Primary
34984
CA
171W00000X
Contractor
9413
NC
171W00000X
Contractor
9599
CO
171W00000X
Contractor
PT21386
FL

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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