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1265761134
JONATHAN BEOUGHER
LOUISVILLE, KY
NPI
1265761134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 005553)
Enumeration Date
2009-12-23
Last Update Date
2009-12-23
Business Address
-- JONATHAN BEOUGHER PT, DPT
12935 SHELBYVILLE RD ST #106
LOUISVILLE, KY 40243-1592
Phone number: 502-489-5002
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Mailing Address
-- JONATHAN BEOUGHER PT, DPT
1120 LA FONTENAY CT
LOUISVILLE, KY 40223-3038
Phone number:
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