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1568749968
JONATHAN LOOMIS
AUBURN, NY
NPI
1568749968
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Entity Type
Organization
Authorized Contact
JONATHAN SNYDER LOOMIS
Clinical Therapist
315-252-6978
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NY R054031-1)
Enumeration Date
2011-11-14
Last Update Date
2011-11-23
Business Address
JONATHAN LOOMIS
2 SOUTH ST 204
AUBURN, NY 13021-3833
Phone number: 315-252-6978
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Mailing Address
JONATHAN LOOMIS
2 SOUTH STREET 204
AUBURN, NY 13021-3833
Phone number: 315-252-6978
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