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1386282242
JACOB ERICKSON
PLANO, TX
NPI
1386282242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1344982)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2019-12-11
Last Update Date
2021-05-06
Business Address
JACOB ERICKSON
6921 INDEPENDENCE PKWY
PLANO, TX 75023-8337
Phone number: 877-609-0123
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Mailing Address
JACOB ERICKSON
7825 3RD ST N STE 105
OAKDALE, MN 55128-5444
Phone number: 877-609-0123
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