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1679166904
DWAYNE KICKLIGHTER
DALLAS, TX
NPI
1679166904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1178660)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
Mr. DWAYNE KICKLIGHTER PT
7831 PARK LN
DALLAS, TX 75225-2000
Phone number: 214-369-9905
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Mailing Address
Mr. DWAYNE KICKLIGHTER PT
7831 PARK LN
DALLAS, TX 75225-2000
Phone number: 214-369-9905
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