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1558045062
JACOB KOSTELEC
GAINESVILLE, GA
NPI
1558045062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016615)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
JACOB KOSTELEC PT, DPT
1640 JESSE JEWELL PKWY NE
GAINESVILLE, GA 30501-2561
Phone number: 770-536-9300
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Mailing Address
JACOB KOSTELEC PT, DPT
2400 WISTERIA DR STE A
SNELLVILLE, GA 30078-2689
Phone number: 770-980-0102
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