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1578896908
JONATHAN JETT TATE
LONGVIEW, TX
NPI
1578896908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1191436)
Enumeration Date
2009-09-17
Last Update Date
2021-02-11
Business Address
JONATHAN JETT TATE PT
5804 JUDSON RD STE 201
LONGVIEW, TX 75605-1073
Phone number: 806-470-5904
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Mailing Address
JONATHAN JETT TATE PT
107 CHINQUAPIN CT
HALLSVILLE, TX 75650-6224
Phone number: 806-470-5904
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