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1407312804
DECLAN GERARD GERAGHTY
AUSTIN, TX
NPI
1407312804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: TX 1306381)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
DECLAN GERARD GERAGHTY
3201 BEE CAVES RD STE 121
AUSTIN, TX 78746-7060
Phone number: 512-987-4409
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Mailing Address
DECLAN GERARD GERAGHTY
807 W LYNN ST APT 208
AUSTIN, TX 78703-4767
Phone number: 847-565-9670
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