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1306442090
JEREMY JARABAS BANAS
BUFORD, GA
NPI
1306442090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 28229)
Enumeration Date
2020-12-08
Last Update Date
2023-07-19
Business Address
JEREMY JARABAS BANAS PT, DPT
4700 NELSON BROGDON BLVD STE 240
BUFORD, GA 30518-5401
Phone number: 770-271-3188
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Mailing Address
JEREMY JARABAS BANAS PT, DPT
720 RALPH MCGILL BLVD NE UNIT 504
ATLANTA, GA 30312-1197
Phone number: 301-706-2511
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