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1922600543
JACOB CLIFFORD TYSON
DURHAM, NC
NPI
1922600543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P19758)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
DR. JACOB CLIFFORD TYSON DPT
2216 ELMWOOD AVE
DURHAM, NC 27707-1010
Phone number: 919-452-5078
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Mailing Address
DR. JACOB CLIFFORD TYSON DPT
423 MELANIE CT
CHAPEL HILL, NC 27514-1834
Phone number: 919-951-8457
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