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1306248588
JONATHAN CARLOS
SAN DIEGO, CA
NPI
1306248588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 36143)
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
-- JONATHAN CARLOS
3760 CONVOY ST STE 204
SAN DIEGO, CA 92111-3744
Phone number: 858-514-0375
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Mailing Address
-- JONATHAN CARLOS
463 BALLANTYNE ST UNIT 35
EL CAJON, CA 92020-3755
Phone number: 269-591-5227
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