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1881468064
JEFFSON TAN ATIENZA
ROCKWALL, TX
NPI
1881468064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1385314)
Enumeration Date
2023-11-08
Last Update Date
2024-07-09
Business Address
JEFFSON TAN ATIENZA
2268 N LAKE SHORE DR STE 106
ROCKWALL, TX 75087-0280
Phone number: 972-979-6577
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Mailing Address
JEFFSON TAN ATIENZA
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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