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1174591242
JON C TEACLE
COLLEGE STATION, TX
NPI
1174591242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02372)
Enumeration Date
2006-03-14
Last Update Date
2015-08-12
Business Address
-- JON C TEACLE PAC
2803 EARL RUDDER FWY S STE 103
COLLEGE STATION, TX 77845-6099
Phone number: 979-731-8888
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Mailing Address
-- JON C TEACLE PAC
2803 EARL RUDDER FWY S STE 103
COLLEGE STATION, TX 77845-6099
Phone number: 979-731-8888
Copy
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