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1639518053
JONATHAN THOMAS SMALL
COOS BAY, OR
NPI
1639518053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR T 60243)
Enumeration Date
2013-06-19
Last Update Date
2013-06-19
Business Address
-- JONATHAN THOMAS SMALL DPT
2645 NORTH 17TH ST
COOS BAY, OR 97420
Phone number: 541-266-3658
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Mailing Address
-- JONATHAN THOMAS SMALL DPT
1369 CALIFORNIA AVE
COOS BAY, OR 97420-1009
Phone number: 315-794-8530
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