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1639283419
JONATHAN TAYLOR
WATERBURY, CT
NPI
1639283419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN TAYLOR
22 TOMPKINS ST
WATERBURY, CT 06708-1417
Phone number: 203-419-0381
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Mailing Address
Mr. JONATHAN TAYLOR
22 LAKESHORE DR APT. A3
FARMINGTON, CT 06032-1276
Phone number: 860-409-9127
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