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1841335007
JAN DOMMERHOLT
BETHESDA, MD
NPI
1841335007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 16428)
Enumeration Date
2007-02-21
Last Update Date
2008-04-11
Business Address
MR. JAN DOMMERHOLT MPT
7830 OLD GEORGETOWN RD SUITE C-15
BETHESDA, MD 20814-2432
Phone number: 301-656-5613
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Mailing Address
MR. JAN DOMMERHOLT MPT
7830 OLD GEORGETOWN RD SUITE C-15
BETHESDA, MD 20814-2432
Phone number: 301-656-5613
Copy
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