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1932630514
JENNIFER HOPE FONKEN
AUSTIN, TX
NPI
1932630514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1122893)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
JENNIFER HOPE FONKEN P.T.
12509 ENCHANTED FOREST DR
AUSTIN, TX 78727-5805
Phone number: 512-297-7743
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Mailing Address
JENNIFER HOPE FONKEN P.T.
12509 ENCHANTED FOREST DR
AUSTIN, TX 78727-5805
Phone number: 512-297-7743
Copy
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