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1548511934
JONATHAN BLUE
SAN DIEGO, CA
NPI
1548511934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 38394)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
JONATHAN BLUE DPT
404 CAMINO DEL RIO S # 508
SAN DIEGO, CA 92108-3503
Phone number: 760-668-4164
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Mailing Address
JONATHAN BLUE DPT
5085 BRIGHTON AVE
SAN DIEGO, CA 92107-2507
Phone number:
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