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1750842423
JONATHAN ERIC PEARSON
LA GRANDE, OR
NPI
1750842423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR CP000178A)
Enumeration Date
2019-03-26
Last Update Date
2019-08-16
Business Address
JONATHAN ERIC PEARSON PTA
91 ARIES LN
LA GRANDE, OR 97850-3309
Phone number: 541-963-8678
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Mailing Address
JONATHAN ERIC PEARSON PTA
255 BROADWAY ST
PLATTEVILLE, WI 53818-2826
Phone number: 951-795-2271
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