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1063860088
JORDAN MAZICK
SAN ANTONIO, TX
NPI
1063860088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 3119093)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
-- JORDAN MAZICK
8230 N LOOP 1604 W
SAN ANTONIO, TX 78249-2990
Phone number: 210-239-0495
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Mailing Address
-- JORDAN MAZICK
11611 BRIDGE HAMPTON
SAN ANTONIO, TX 78251-3202
Phone number:
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