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1053883033
PHILIP NATHAN JACOBSON
NORTHRIDGE, CA
NPI
1053883033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT292630)
Enumeration Date
2019-01-01
Last Update Date
2019-03-05
Business Address
PHILIP NATHAN JACOBSON
9545 RESEDA BLVD STE 4
NORTHRIDGE, CA 91324-2351
Phone number: 818-886-2005
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Mailing Address
PHILIP NATHAN JACOBSON
9545 RESEDA BLVD STE 4
NORTHRIDGE, CA 91324-2351
Phone number: 818-886-2005
Copy
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