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1487658720
JASON P VAN DYKE
ESCONDIDO, CA
NPI
1487658720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 25655)
Enumeration Date
2005-06-01
Last Update Date
2007-07-08
Business Address
Mr. JASON P VAN DYKE PT
215 S HICKORY ST STE 224
ESCONDIDO, CA 92025-4393
Phone number: 760-839-2905
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Mailing Address
Mr. JASON P VAN DYKE PT
5395 RUFFIN RD STE 201
SAN DIEGO, CA 92123-1338
Phone number: 800-219-4419
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