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1417126996
JASON PAUL LOGOLUSO
SANTA ANA, CA
NPI
1417126996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 34458)
Enumeration Date
2008-02-28
Last Update Date
2008-02-28
Business Address
-- JASON PAUL LOGOLUSO PT
1910 OLD TUSTIN AVE
SANTA ANA, CA 92705
Phone number: 714-835-6638
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Mailing Address
-- JASON PAUL LOGOLUSO PT
1910 OLD TUSTIN AVE
SANTA ANA, CA 92705-7811
Phone number: 714-835-6638
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