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1801376272
DANIEL MARK IMMEKUS
CORPUS CHRISTI, TX
NPI
1801376272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1155468)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
DANIEL MARK IMMEKUS PT
6737 SUDBURY
CORPUS CHRISTI, TX 78414-2409
Phone number: 361-779-4112
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Mailing Address
DANIEL MARK IMMEKUS PT
6737 SUDBURY
CORPUS CHRISTI, TX 78414-2409
Phone number: 361-779-4112
Copy
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