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1003936246
JOSE ABANTAO
TIFTON, GA
NPI
1003936246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT004580)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- JOSE ABANTAO PT
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-353-3347
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Mailing Address
-- JOSE ABANTAO PT
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-353-3347
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