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1215646302
JONATHAN FARRIS
COSTA MESA, CA
NPI
1215646302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
JONATHAN FARRIS
1821 NANTUCKET PL
COSTA MESA, CA 92627-4588
Phone number: 949-689-6289
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Mailing Address
JONATHAN FARRIS
19191 HARVARD AVE
IRVINE, CA 92612-4670
Phone number:
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