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1386218352
JACOB T BARTZ-BROUSSARD
LINCOLN, ME
NPI
1386218352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT5929)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
DR. JACOB T BARTZ-BROUSSARD PT, DPT
36 WORKMAN TER
LINCOLN, ME 04457-1162
Phone number: 207-794-6025
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Mailing Address
DR. JACOB T BARTZ-BROUSSARD PT, DPT
928 COURTHOUSE RD UNIT 22
GULFPORT, MS 39507-4111
Phone number: 228-265-3766
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