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1821545161
JASON SANGRAY
MERIDIAN, ID
NPI
1821545161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA238)
Enumeration Date
2016-09-03
Last Update Date
2016-09-03
Business Address
JASON SANGRAY PTA
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-381-2222
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Mailing Address
JASON SANGRAY PTA
16590 N YORKSHIRE LN
NAMPA, ID 83687-9464
Phone number: 208-870-6926
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