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1053797951
JACOB MATTSON
LOUISVILLE, KY
NPI
1053797951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A03377)
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- JACOB MATTSON
2116 BUECHEL BANK RD
LOUISVILLE, KY 40218-3521
Phone number: 502-493-8383
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Mailing Address
-- JACOB MATTSON
2116 BUECHEL BANK RD
LOUISVILLE, KY 40218-3521
Phone number:
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