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1013786193
JASON MATTHEW FUNKE
ANAHEIM, CA
NPI
1013786193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 305410)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
JASON MATTHEW FUNKE DPT
1101 S ANAHEIM BLVD
ANAHEIM, CA 92805-5811
Phone number: 714-937-1919
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Mailing Address
JASON MATTHEW FUNKE DPT
10636 CHESTNUT ST
LOS ALAMITOS, CA 90720-2141
Phone number: 562-753-1750
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