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1144865163
JUSTIN FRAZIER
SOUTHLAKE, TX
NPI
1144865163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1321645)
Enumeration Date
2019-11-13
Last Update Date
2024-06-21
Business Address
JUSTIN FRAZIER
190 SH-114 W
SOUTHLAKE, TX 75609
Phone number: 210-882-2433
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Mailing Address
JUSTIN FRAZIER
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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