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1326637240
JACOB LONG
TOPEKA, KS
NPI
1326637240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-02892)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
JACOB LONG PTA
5220 SW 17TH ST STE 130
TOPEKA, KS 66604-2514
Phone number: 785-271-5533
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Mailing Address
JACOB LONG PTA
5220 SW 17TH ST STE 130
TOPEKA, KS 66604-2514
Phone number: 785-271-5533
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