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1477080695
JACOB MICHAEL MILLER
SOUTHLAKE, TX
NPI
1477080695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1291448)
Enumeration Date
2017-05-18
Last Update Date
2023-09-08
Business Address
JACOB MICHAEL MILLER
731 E SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX 76092-6380
Phone number: 817-442-8600
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Mailing Address
JACOB MICHAEL MILLER
PO BOX 2650
COPPELL, TX 75019-8607
Phone number: 972-724-2400
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