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1063062875
JASON WADDLES
GEORGETOWN, KY
NPI
1063062875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY TP2019119)
Enumeration Date
2019-09-13
Last Update Date
2019-09-13
Business Address
JASON WADDLES DPT
101 EASTSIDE DR STE D
GEORGETOWN, KY 40324-8763
Phone number: 502-867-0111
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Mailing Address
JASON WADDLES DPT
1132 JONESTOWN LN
LEXINGTON, KY 40517-2996
Phone number: 859-447-0620
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