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1417534926
JORDAN ALEXANDER BOONE
SAN DIEGO, CA
NPI
1417534926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT299073)
Enumeration Date
2021-03-29
Last Update Date
2021-03-30
Business Address
JORDAN ALEXANDER BOONE PT, DPT
3677 43RD ST APT 3
SAN DIEGO, CA 92105-3456
Phone number: 619-630-8748
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Mailing Address
JORDAN ALEXANDER BOONE PT, DPT
3677 43RD ST APT 3
SAN DIEGO, CA 92105-3456
Phone number: 619-630-8748
Copy
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