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1962784595
JEFFERY MICHAEL DEATHERAGE
LAKEWAY, TX
NPI
1962784595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X Chiropractor Rehabilitation
(Licence: TX 16116)
Enumeration Date
2011-09-09
Last Update Date
2024-08-01
Business Address
DR. JEFFERY MICHAEL DEATHERAGE D.C.
2303 RANCH ROAD 620 S STE 190
LAKEWAY, TX 78734-6232
Phone number: 800-404-6050
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Mailing Address
DR. JEFFERY MICHAEL DEATHERAGE D.C.
PO BOX 700688
SAN ANTONIO, TX 78270-0688
Phone number: 800-404-6050
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