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1417541301
JACOB STEPHEN PAVOLIK
SALISBURY, MD
NPI
1417541301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A-4995)
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
JACOB STEPHEN PAVOLIK PTA
1109 S SCHUMAKER DR
SALISBURY, MD 21804-9256
Phone number: 443-397-5375
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Mailing Address
JACOB STEPHEN PAVOLIK PTA
1109 S SCHUMAKER DR
SALISBURY, MD 21804-9256
Phone number: 443-397-5375
Copy
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