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1871701052
JIJU MYLACKAL ABRAHAM
HOUSTON, TX
NPI
1871701052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1154710)
Enumeration Date
2007-05-19
Last Update Date
2007-07-08
Business Address
Mr. JIJU MYLACKAL ABRAHAM MPT
2939 WOODLAND PARK DR
HOUSTON, TX 77082-2687
Phone number: 281-870-9100
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Mailing Address
Mr. JIJU MYLACKAL ABRAHAM MPT
1515 WATERWOOD CT
MISSOURI CITY, TX 77459-1725
Phone number: 713-443-4681
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