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Individual

MR. JACOB TODD THURMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3809 S 2ND ST STE B100, AUSTIN, TX 78704-7015
(512) 447-9675
(512) 428-9675
Mailing address
3809 S 2ND ST STE B100, AUSTIN, TX 78704-7015
(512) 447-9675
(512) 428-9675

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14571556
TX

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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