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1104517374
JASON PANTIG
SOUTHLAKE, TX
NPI
1104517374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1368839)
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
JASON PANTIG
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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Mailing Address
JASON PANTIG
PO BOX 2350
ROCKLIN, CA 95677-8350
Phone number:
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