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1518169903
JEFFERSON LEE RODIECK
SAN ANTONIO, TX
NPI
1518169903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-06-05
Last Update Date
2014-01-22
Business Address
-- JEFFERSON LEE RODIECK PA-C
408 NAVARRO ST
SAN ANTONIO, TX 78205-2502
Phone number: 210-272-1741
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Mailing Address
-- JEFFERSON LEE RODIECK PA-C
1045 CENTRAL PARKWAY NORTH SUITE #200
SAN ANTONIO, TX 78232-5024
Phone number: 210-541-4500
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