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1417969072
JEFF S. BRZOSTEK
TEMPLE, TX
NPI
1417969072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301012490)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. JEFF S. BRZOSTEK Ph.D.
1901 S 1ST ST
TEMPLE, TX 76504-7451
Phone number: 254-743-1268
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Mailing Address
Dr. JEFF S. BRZOSTEK Ph.D.
4101 W ADAMS AVE 223
TEMPLE, TX 76504-3571
Phone number: 254-743-1268
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