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1962954701
JEROME STEWART
DALLAS, TX
NPI
1962954701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2118456)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
JEROME STEWART LPTA
8600 SKYLINE DR
DALLAS, TX 75243-4198
Phone number: 214-355-9108
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Mailing Address
JEROME STEWART LPTA
211 ALTHEA RD
ROCKWALL, TX 75032-6103
Phone number: 903-486-2165
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