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1235857590
JARED WESLEY ST. AMANT
SHELBY, NC
NPI
1235857590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P21468)
Enumeration Date
2022-08-22
Last Update Date
2023-08-25
Business Address
JARED WESLEY ST. AMANT
1129 E MARION ST
SHELBY, NC 28150-4843
Phone number: 704-471-0001
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Mailing Address
JARED WESLEY ST. AMANT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number:
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