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1972772606
JENNIFER WONG GRANGER
IRVING, TX
NPI
1972772606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 18179)
Enumeration Date
2008-02-27
Last Update Date
2008-02-27
Business Address
Mrs. JENNIFER WONG GRANGER DPT
5001 STATESMAN DR
IRVING, TX 75063-2414
Phone number: 469-524-1506
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Mailing Address
Mrs. JENNIFER WONG GRANGER DPT
176 WATERFORD LAKE DR
CALERA, AL 35040-7650
Phone number: 334-444-5453
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