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1093917338
JONATHAN MARK MILLER
LOS ANGELES, CA
NPI
1093917338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 24052)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN MARK MILLER MSPT
1082 GLENDON AVE
LOS ANGELES, CA 90024-2908
Phone number: 310-209-2011
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Mailing Address
Mr. JONATHAN MARK MILLER MSPT
15111 BURBANK BLVD #106
VAN NUYS, CA 91411-3566
Phone number: 818-515-1112
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