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1912329442
JENNA MICKEY
SAN ANTONIO, TX
NPI
1912329442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX 1233526)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
JENNA MICKEY PT, DPT
10609 IH 10 W STE 201
SAN ANTONIO, TX 78230-1673
Phone number: 210-344-5437
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Mailing Address
JENNA MICKEY PT, DPT
13615 WELLCREST
SAN ANTONIO, TX 78232-5907
Phone number: 210-344-5437
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