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1598123051
JOSE LONGA
MILWAUKIE, OR
NPI
1598123051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33786)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
-- JOSE LONGA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5237
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Mailing Address
-- JOSE LONGA
9909 TUNGSTEN ST
BAKERSFIELD, CA 93311-9516
Phone number: 626-315-4355
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