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1316315682
JOHN FUNK
JAMESTOWN, NY
NPI
1316315682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 009393)
Enumeration Date
2015-09-03
Last Update Date
2015-09-03
Business Address
-- JOHN FUNK PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Phone number: 716-665-1166
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Mailing Address
-- JOHN FUNK PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-665-1166
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