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1174500805
JARRETT LANGE
ODESSA, TX
NPI
1174500805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1099117)
Enumeration Date
2005-12-23
Last Update Date
2020-04-16
Business Address
JARRETT LANGE PT
4407 N GRANDVIEW AVE
ODESSA, TX 79762-5311
Phone number: 432-366-9541
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Mailing Address
JARRETT LANGE PT
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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