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1477959575
JASON WOODY
COLUMBIA, MO
NPI
1477959575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2013043081)
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
-- JASON WOODY PTA
1100 CLUB VILLAGE DR STE 103
COLUMBIA, MO 65203-4411
Phone number: 573-256-2777
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Mailing Address
-- JASON WOODY PTA
103 DALE LN
CALIFORNIA, MO 65018-1158
Phone number:
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