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1114487063
ZACHARY D LOEFFELHOLZ
FORT WORTH, TX
NPI
1114487063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
ZACHARY D LOEFFELHOLZ
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3000
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Mailing Address
ZACHARY D LOEFFELHOLZ
1517 S THERESA AVE UNIT 305
SAINT LOUIS, MO 63104-1394
Phone number: 402-960-5823
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