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1831327196
JACK A TEITSMA
LEAGUE CITY, TX
NPI
1831327196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 34453)
Enumeration Date
2009-06-25
Last Update Date
2011-12-11
Business Address
-- JACK A TEITSMA Psy.D.
1616 PONTE LEONE LN
LEAGUE CITY, TX 77573-5067
Phone number: 630-386-5106
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Mailing Address
-- JACK A TEITSMA Psy.D.
1616 PONTE LEONE LN
LEAGUE CITY, TX 77573-5067
Phone number: 630-386-5106
Copy
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