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1073378097
COREY NICKERSON II
DALLAS, TX
NPI
1073378097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1389702)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
COREY NICKERSON II PT, DPT
10233 E NORTHWEST HWY STE 410
DALLAS, TX 75238-4430
Phone number: 469-221-9203
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Mailing Address
COREY NICKERSON II PT, DPT
1701 EVERGLADES DR
FORNEY, TX 75126-3464
Phone number:
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