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1780637280
THOMAS JERRY BOHANON
RICHMOND, VA
NPI
1780637280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305202912)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
Mr. THOMAS JERRY BOHANON PT
3001 HUNGARY SPRING RD SUITE D
RICHMOND, VA 23228-2428
Phone number: 804-756-8490
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Mailing Address
Mr. THOMAS JERRY BOHANON PT
5437 WINTERGREEN RD
GLEN ALLEN, VA 23060-9236
Phone number: 804-756-8490
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