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1053578385
JASON TODD WALL
MORGANTON, NC
NPI
1053578385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 9896)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
Mr. JASON TODD WALL LPT
3138 FRANK WHISNANT RD
MORGANTON, NC 28655-8222
Phone number: 828-438-0551
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Mailing Address
Mr. JASON TODD WALL LPT
3138 FRANK WHISNANT RD
MORGANTON, NC 28655-8222
Phone number: 828-438-0551
Copy
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