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1295150472
JACK TYLER HOLLABAUGH
FAYETTEVILLE, NC
NPI
1295150472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 14712)
Enumeration Date
2014-02-25
Last Update Date
2018-12-04
Business Address
JACK TYLER HOLLABAUGH DPT
2014 LITHO PL
FAYETTEVILLE, NC 28304-2518
Phone number: 910-484-2091
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Mailing Address
JACK TYLER HOLLABAUGH DPT
1200 CORPORATE DR STE 400
BIRMINGHAM, AL 35242-5424
Phone number: 423-682-8840
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