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1639319924
JASON WILLIAM ANDERSON
COSTA MESA, CA
NPI
1639319924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 28877)
Enumeration Date
2009-02-25
Last Update Date
2009-02-25
Business Address
Mr. JASON WILLIAM ANDERSON PT
1640 NEWPORT BLVD SUITE 220
COSTA MESA, CA 92627-3786
Phone number: 949-650-4362
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Mailing Address
Mr. JASON WILLIAM ANDERSON PT
4704 SEASHORE DR APT B
NEWPORT BEACH, CA 92663-2524
Phone number: 401-595-4076
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