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1487076881
JASON M BENWELL
SAN DIEGO, CA
NPI
1487076881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33414)
Enumeration Date
2014-01-20
Last Update Date
2014-01-20
Business Address
-- JASON M BENWELL DPT
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130-3077
Phone number: 866-871-8519
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Mailing Address
-- JASON M BENWELL DPT
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130-3077
Phone number:
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