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1790963239
KEITH CORNELL WILCOX
AUSTIN, TX
NPI
1790963239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TX 38986)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mr. KEITH CORNELL WILCOX
2809 TOWNES LN
AUSTIN, TX 78703-1644
Phone number: 512-940-8285
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Mailing Address
Mr. KEITH CORNELL WILCOX
2809 TOWNES LN
AUSTIN, TX 78703-1644
Phone number: 512-940-8285
Copy
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