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1003952847
JACK L MIKEWORTH
FORT WORTH, TX
NPI
1003952847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 5714)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
DR. JACK L MIKEWORTH D.C.
2200 EVANS AVE
FORT WORTH, TX 76104-6066
Phone number: 817-926-4693
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Mailing Address
DR. JACK L MIKEWORTH D.C.
2009 LEIGHTON DR
ARLINGTON, TX 76015-3228
Phone number: 817-557-9523
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