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Individual
JEFFREY RONALD CAIN
Active
Individual
JEFFREY RONALD CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1174507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
MEDICARE GROUP
TX
05
—
192268401
—
TX
Enumeration date
06/13/2007
Last updated
02/02/2012
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