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1588805907
JACOB LEE BEAN
PRESCOTT, AZ
NPI
1588805907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ PT-009376)
Enumeration Date
2009-03-14
Last Update Date
2018-12-25
Business Address
MR. JACOB LEE BEAN MPT
6820 EL DORADO DR
PRESCOTT, AZ 86303
Phone number: 928-308-3462
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Mailing Address
MR. JACOB LEE BEAN MPT
6820 EL DORADO DR
PRESCOTT, AZ 86303-6526
Phone number: 928-308-3462
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