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1700275690
GIANCARLO DE JESUS
BOERNE, TX
NPI
1700275690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1193940)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
Mr. GIANCARLO DE JESUS PT
112 MUSTANG RUN
BOERNE, TX 78006-1953
Phone number: 516-506-8273
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Mailing Address
Mr. GIANCARLO DE JESUS PT
112 MUSTANG RUN
BOERNE, TX 78006-1953
Phone number: 516-506-8273
Copy
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