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1891175121
JONATHAN AUSTIN
MONROE, LA
NPI
1891175121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8977)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- JONATHAN AUSTIN
810 N 29TH ST
MONROE, LA 71201-3704
Phone number: 318-600-4260
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Mailing Address
-- JONATHAN AUSTIN
2102 RAINBOW DR
WEST MONROE, LA 71291-7631
Phone number: 318-348-6284
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