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1306254610
JASON BOHL
EAU CLAIRE, WI
NPI
1306254610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2169-19)
Enumeration Date
2014-07-30
Last Update Date
2014-07-30
Business Address
JASON BOHL PTA
2120 HEIGHTS DR
EAU CLAIRE, WI 54701-6142
Phone number: 715-832-1681
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Mailing Address
JASON BOHL PTA
2120 HEIGHTS DR
EAU CLAIRE, WI 54701-6142
Phone number: 715-832-1681
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