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1043501976
JACOB JOHN WINGERTER
AUSTIN, TX
NPI
1043501976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX BP1-0039540)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
JACOB JOHN WINGERTER
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 406-868-9735
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Mailing Address
JACOB JOHN WINGERTER
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 406-868-9735
Copy
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