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1336811488
JACOB MICHAEL WHITMIRE
LYNCHBURG, VA
NPI
1336811488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306606017)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
Mr. JACOB MICHAEL WHITMIRE PTA
2249 MURRELL RD
LYNCHBURG, VA 24501-2131
Phone number: 434-846-6611
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Mailing Address
Mr. JACOB MICHAEL WHITMIRE PTA
126 EAST ST
MADISON HEIGHTS, VA 24572-2411
Phone number: 541-993-9448
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