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1114173242
JOSE LUIS DEJESUS
JACKSONVILLE, NC
NPI
1114173242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 11763)
Enumeration Date
2008-08-08
Last Update Date
2008-08-08
Business Address
-- JOSE LUIS DEJESUS DPT
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546-5800
Phone number: 910-938-7555
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Mailing Address
-- JOSE LUIS DEJESUS DPT
PO BOX 12909
NEW BERN, NC 28561-2909
Phone number: 910-938-7555
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