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1003352097
JONATHAN LEE
MARIANNA, FL
NPI
1003352097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: FL 32134)
Enumeration Date
2017-01-13
Last Update Date
2017-05-01
Business Address
-- JONATHAN LEE
4387 KELSON AVE APT A
MARIANNA, FL 32446
Phone number: 352-870-8109
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Mailing Address
-- JONATHAN LEE
4387 KELSON AVE APT A
MARIANNA, FL 32446
Phone number: 352-870-8109
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