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1306696885
DERRICK NZEAKOR
MESQUITE, TX
NPI
1306696885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2127352)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
DERRICK NZEAKOR PTA
711 MATADOR LN
MESQUITE, TX 75149-8830
Phone number: 972-532-0885
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Mailing Address
DERRICK NZEAKOR PTA
1311 BINFIELD DR
FORNEY, TX 75126-3639
Phone number: 469-952-0943
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