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1508419219
COREY PHILLIPS NICKERSON
SAN ANTONIO, TX
NPI
1508419219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1322584)
Enumeration Date
2019-07-22
Last Update Date
2023-08-31
Business Address
COREY PHILLIPS NICKERSON
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB
SAN ANTONIO, TX 78236
Phone number: 210-292-5034
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Mailing Address
COREY PHILLIPS NICKERSON
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB
SAN ANTONIO, TX 78236
Phone number:
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