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1376616979
JERRY D. WILKERSON
TYLER, TX
NPI
1376616979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1195120)
Enumeration Date
2006-11-15
Last Update Date
2019-05-31
Business Address
Mr. JERRY D. WILKERSON P.T.
6760 OLD JACKSONVILLE HWY STE 101
TYLER, TX 75703-0566
Phone number:
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Mailing Address
Mr. JERRY D. WILKERSON P.T.
1909 SOUTHWOOD DR
LAKE CHARLES, LA 70605-4132
Phone number: 337-477-9292
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