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1891361051
JESSE LEEROY DURAN
SPOKANE, WA
NPI
1891361051
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Professional Name
JESSE LEEROY DURAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2098701)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
JESSE LEEROY DURAN PTA
711 S COWLEY ST
SPOKANE, WA 99202-1330
Phone number: 509-473-6000
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Mailing Address
JESSE LEEROY DURAN PTA
1064 CANADA WILD DR
BUDA, TX 78610-5157
Phone number: 806-407-2164
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