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1962555383
JEFF DAVIS WHITAKER
AUSTIN, TX
NPI
1962555383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1132702)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Mr. JEFF DAVIS WHITAKER P.T., COS-C
6006 LONESOME VALLEY TRL
AUSTIN, TX 78731-3748
Phone number: 512-563-8005
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Mailing Address
Mr. JEFF DAVIS WHITAKER P.T., COS-C
6006 LONESOME VALLEY TRL
AUSTIN, TX 78731-3748
Phone number: 512-563-8005
Copy
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