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1235300997
JASON LEE JUDKINS
FORT SAM HOUSTON, TX
NPI
1235300997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 112535)
Enumeration Date
2008-03-20
Last Update Date
2008-03-20
Business Address
-- JASON LEE JUDKINS OTR
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-5805
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Mailing Address
-- JASON LEE JUDKINS OTR
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-5805
Copy
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