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1366796112
JONATHAN A EBERSOLE
RICHMOND, VA
NPI
1366796112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305207689)
Enumeration Date
2012-11-01
Last Update Date
2013-03-13
Business Address
-- JONATHAN A EBERSOLE PT, DPT
4831 S LABURNUM AVE
RICHMOND, VA 23231-2713
Phone number: 804-222-0745
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Mailing Address
-- JONATHAN A EBERSOLE PT, DPT
771 PILOT HOUSE DR SUITE A
NEWPORT NEWS, VA 23606-1990
Phone number: 757-873-2302
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