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Individual
JERRY VARGHESE KIZHAKKEMURI
Active
Individual
JERRY VARGHESE KIZHAKKEMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1195960
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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