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1083205777
JONATHAN PHILIP SHAFER
NEWBURGH, NY
NPI
1083205777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010372-1)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
JONATHAN PHILIP SHAFER
17 N PLANK RD STE 10
NEWBURGH, NY 12550-2111
Phone number: 845-800-9305
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Mailing Address
JONATHAN PHILIP SHAFER
1653 RATZER RD
WAYNE, NJ 07470-2437
Phone number: 563-508-4695
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