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1184049546
JASON RANDALL WISHIN
DALLAS, TX
NPI
1184049546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1240476)
Enumeration Date
2014-02-21
Last Update Date
2014-02-21
Business Address
Dr. JASON RANDALL WISHIN PT
1015 N CARROLL AVE SUITE 104
DALLAS, TX 75204-6613
Phone number: 214-887-6580
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Mailing Address
Dr. JASON RANDALL WISHIN PT
1015 N CARROLL AVE SUITE 104
DALLAS, TX 75204-6613
Phone number: 214-887-6580
Copy
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