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1699252247
ELIJAH ST JOHN
TEMPLE, TX
NPI
1699252247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 2098353)
Enumeration Date
2018-07-26
Last Update Date
2020-02-20
Business Address
ELIJAH ST JOHN PTA
201 PALOMA DR
TEMPLE, TX 76502-7650
Phone number: 936-204-0522
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Mailing Address
ELIJAH ST JOHN PTA
6512 BROOKS DR
TEMPLE, TX 76502-6300
Phone number: 936-204-0522
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