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1841830122
JUSTIN C TALLARD
DALLAS, TX
NPI
1841830122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251S0007X Physical Therapist Sports
(Licence: TX 1301915)
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
JUSTIN C TALLARD PT
4885 ALPHA RD STE 135
DALLAS, TX 75244-4637
Phone number: 608-235-3393
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Mailing Address
JUSTIN C TALLARD PT
4142 HERSCHEL AVE APT 107
DALLAS, TX 75219-3078
Phone number:
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