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1033944723
JACOB MEDINA
PLANO, TX
NPI
1033944723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1397453)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
JACOB MEDINA PT, DPT
1100 ALLIED DR
PLANO, TX 75093-5348
Phone number: 469-814-3278
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Mailing Address
JACOB MEDINA PT, DPT
8189 MIDTOWN BLVD APT 12316
DALLAS, TX 75231-4562
Phone number: 281-986-0298
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