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1093992315
JASON RICO PERIGEN
BOZEMAN, MT
NPI
1093992315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 1536)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
-- JASON RICO PERIGEN PTA
1221 DURSTON RD W
BOZEMAN, MT 59715
Phone number: 406-582-3300
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Mailing Address
-- JASON RICO PERIGEN PTA
1020 N YELLOWSTONE AVE
BOZEMAN, MT 59718
Phone number: 406-587-9598
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