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1891467791
JASON ROBERT CORNELISON
GEORGETOWN, KY
NPI
1891467791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 006835)
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
JASON ROBERT CORNELISON
200 PLEASANT VIEW DR
GEORGETOWN, KY 40324-8303
Phone number: 904-806-8102
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Mailing Address
JASON ROBERT CORNELISON
200 PLEASANT VIEW DR
GEORGETOWN, KY 40324-8303
Phone number: 904-806-8102
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