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1801578414
JONATHAN MAO
LOS ANGELES, CA
NPI
1801578414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304346)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
JONATHAN MAO DPT
12400 SANTA MONICA BLVD
LOS ANGELES, CA 90025-2522
Phone number: 310-264-8385
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Mailing Address
JONATHAN MAO DPT
789 FRESCA DR
OXNARD, CA 93030-0163
Phone number: 805-815-7689
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